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Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.

Persson, Jan LU ; Reynisson, Petur LU ; Måsbäck, Anna LU ; Epstein, Elisabeth LU and Saldeen, Pia LU (2010) In Acta Obstetricia et Gynecologica Scandinavica APR 8. p.835-839
Abstract
Abstract Retroperitoneal ectopic pregnancies are extremely rare and a diagnostic and therapeutic challenge as an early diagnosis is difficult and all treatments entail a risk for severe bleeding. We present a case of a live completely retroperitoneal ectopic pregnancy in the right obturator fossa. Following 3D color Doppler vaginal ultrasonography to evaluate the relation to larger blood vessels the pregnancy was completely removed by robot-assisted laparoscopic surgery. The hypogastric artery was temporarily occluded by removable vessel clips. Time for surgery was 126 minutes, no bleeding occurred. The postoperative course was uneventful and s-betahCG normalized in five weeks. Histopathology of the intact specimen showed trophoblast... (More)
Abstract Retroperitoneal ectopic pregnancies are extremely rare and a diagnostic and therapeutic challenge as an early diagnosis is difficult and all treatments entail a risk for severe bleeding. We present a case of a live completely retroperitoneal ectopic pregnancy in the right obturator fossa. Following 3D color Doppler vaginal ultrasonography to evaluate the relation to larger blood vessels the pregnancy was completely removed by robot-assisted laparoscopic surgery. The hypogastric artery was temporarily occluded by removable vessel clips. Time for surgery was 126 minutes, no bleeding occurred. The postoperative course was uneventful and s-betahCG normalized in five weeks. Histopathology of the intact specimen showed trophoblast surrounded by lymphatic tissue. We believe robot-assisted laparoscopic surgery is a feasible and safe technique for surgery of retroperitoneal ectopic pregnancies with similar or other locations allowing occlusion of the main supplying artery. Lymphatic spread may explain retroperitoneal ectopic pregnancies. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Obstetricia et Gynecologica Scandinavica
volume
APR 8
pages
835 - 839
publisher
Wiley-Blackwell
external identifiers
  • WOS:000282890000019
  • PMID:20334587
  • Scopus:77952892699
ISSN
1600-0412
DOI
10.3109/00016341003623779
language
English
LU publication?
yes
id
220d9883-1ee9-4534-badd-6b9a0e518d30 (old id 1581712)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20334587?dopt=Abstract
date added to LUP
2010-04-08 15:43:41
date last changed
2016-10-13 04:35:02
@misc{220d9883-1ee9-4534-badd-6b9a0e518d30,
  abstract     = {Abstract Retroperitoneal ectopic pregnancies are extremely rare and a diagnostic and therapeutic challenge as an early diagnosis is difficult and all treatments entail a risk for severe bleeding. We present a case of a live completely retroperitoneal ectopic pregnancy in the right obturator fossa. Following 3D color Doppler vaginal ultrasonography to evaluate the relation to larger blood vessels the pregnancy was completely removed by robot-assisted laparoscopic surgery. The hypogastric artery was temporarily occluded by removable vessel clips. Time for surgery was 126 minutes, no bleeding occurred. The postoperative course was uneventful and s-betahCG normalized in five weeks. Histopathology of the intact specimen showed trophoblast surrounded by lymphatic tissue. We believe robot-assisted laparoscopic surgery is a feasible and safe technique for surgery of retroperitoneal ectopic pregnancies with similar or other locations allowing occlusion of the main supplying artery. Lymphatic spread may explain retroperitoneal ectopic pregnancies.},
  author       = {Persson, Jan and Reynisson, Petur and Måsbäck, Anna and Epstein, Elisabeth and Saldeen, Pia},
  issn         = {1600-0412},
  language     = {eng},
  pages        = {835--839},
  publisher    = {ARRAY(0xe45a378)},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.},
  url          = {http://dx.doi.org/10.3109/00016341003623779},
  volume       = {APR 8},
  year         = {2010},
}