Document Detail


Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.
MedLine Citation:
PMID:  20334587     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jan Persson; Petur Reynisson; Anna M?sb?ck; Elisabeth Epstein; Pia Saldeen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  89     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-27     Completed Date:  2010-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  835-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Lund University Hospital and Lund University, Lund, Sweden. jan.persson@med.lu.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries / surgery
Female
Humans
Laparoscopy
Lymphoid Tissue / pathology*
Pregnancy
Pregnancy, Ectopic / etiology,  pathology*,  surgery*,  ultrasonography
Reproductive Techniques, Assisted / adverse effects*
Retroperitoneal Space
Robotics
Trophoblasts / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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