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[Disseminated intraperitoneal trophoblast tissue after laparoscopic treatment of extrauterine pregnancy].
- Source :
-
Geburtshilfe und Frauenheilkunde [Geburtshilfe Frauenheilkd] 1991 Nov; Vol. 51 (11), pp. 939-41. - Publication Year :
- 1991
-
Abstract
- We report on the atypical course of a 31-year old primigravida, who underwent conservative treatment for a tubal pregnancy. After confirmation of the diagnosis by means of laparoscopy, a linear salpingotomy and removal of the products of gestation were performed through the laparoscope. Routine measurements of the serum HCG levels postoperatively showed, after a short period of decreasing HCG levels, a new rapid increase of HCG values. At relaparoscopy, evidence for an intraperitoneal dissemination of trophoblastic tissue was found and confirmed by histology. After treatment with 20 mg methotrexate q.i.d. per os for 5 days, HCG levels returned to normal within a short time. Apart from a minor degree of an aphthosal stomatitis, the patient did not experience any major side effects from the treatment.
- Subjects :
- Adult
Biomarkers, Tumor blood
Biopsy
Chorionic Gonadotropin blood
Choristoma drug therapy
Combined Modality Therapy
Female
Humans
Leucovorin administration & dosage
Methotrexate administration & dosage
Peritoneal Neoplasms drug therapy
Peritoneum pathology
Postoperative Complications drug therapy
Pregnancy
Salpingostomy
Choristoma pathology
Choristoma surgery
Laparoscopy
Neoplasm Seeding
Peritoneal Neoplasms pathology
Peritoneal Neoplasms surgery
Postoperative Complications pathology
Postoperative Complications surgery
Pregnancy, Tubal pathology
Pregnancy, Tubal surgery
Trophoblasts
Subjects
Details
- Language :
- German
- ISSN :
- 0016-5751
- Volume :
- 51
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Geburtshilfe und Frauenheilkunde
- Publication Type :
- Academic Journal
- Accession number :
- 1837782
- Full Text :
- https://doi.org/10.1055/s-2008-1026240