Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1581712
- author
- Persson, Jan LU ; Reynisson, Petur LU ; Måsbäck, Anna LU ; Epstein, Elisabeth LU and Saldeen, Pia LU
- organization
- publishing date
- 2010
- 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
- pmid:20334587
- ISSN
- 1600-0412
- DOI
- 10.3109/00016341003623779
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Molecular Reproductive Medicine (013241710), Department of Obstetrics and Gynaecology (Lund) (013018000), Pathology, (Lund) (013030000)
- 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
- 2016-04-04 09:40:27
- date last changed
- 2022-09-15 12:35:44
@article{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 = {{Wiley-Blackwell}},
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}},
doi = {{10.3109/00016341003623779}},
volume = {{APR 8}},
year = {{2010}},
}