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  • Title: Uncommon location of persistent ectopic pregnancy following laparoscopic surgery.
    Author: Alge AA, Martin J, Müller-Holzner E, Marth C.
    Journal: Obstet Gynecol; 1994 Oct; 84(4 Pt 2):697-8. PubMed ID: 9205453.
    Abstract:
    BACKGROUND: Laparoscopic surgery has become an important tool in the treatment of tubal pregnancy. Skillful operative technique should prevent tissue spread and thus avoid persistence of ectopic trophoblastic cells. CASE: A laparotomy with complete salpingectomy was performed in a patient with rising serum hCG levels after a previous laparoscopic partial salpingectomy for ampullary tubal pregnancy. The only residual trophoblastic tissue found was an implant in the abdominal wall at the site of auxiliary puncture. CONCLUSION: Extra-abdominal dispersion of active trophoblastic cells may lead to increasing hCG levels, mimicking persistent tubal pregnancy.
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