Kürettage mit Nachweis von Chorionzotten bei zunächst unerkannter Tubargravidität

Chorionic villi obtained at curettage are generally accepted as proof of intrauterine pregnancy. We report on a patient in whom suction curettage for molar pregnancy yielded chorionic villi but who had persistent bleeding and rising serum hCG levels after the procedure. Repeat curettage and laparoscopy showed a tubal pregnancy, which was evacuated by salpingotomy. Combined intrauterine and extrauterine (heterotopic) pregnancy is rare, and if vili are found in the uterus it is generally not necessary to rule out ectopic pregnancy. In our patient the chorionic villi obtained at the first curettage appear to have been displaced from the fallopian tube into the uterus.