Hysteroscopic Sterilization under Intravenous Anesthesia Is a Safe Method for Women with Severe Cardiopathy and Contraindication to Outpatient Surgical Procedures

Abstract

Study Objective: To report a case of hemorrhagic persistent trophoblastic implant on the right ovary after laparoscopic salphingectomy for unruptured right tubal pregnancy. Design: Case report. In our Institution, Internal Review Board approval is not needed for case report. The authors have no conflict of interests to disclose and this work was not funded. Setting: University teaching hospital. Patients: 27 year old G7P0343 with hemorrhagic persistent trophoblastic implants on the right ovary four weeks after laparoscopic salphingectomy for unruptured right tubal pregnancy. Intervention: Imaging studies, operative laparoscopies. Measurements and Main Results: Acute abdomen in the setting of hemoperitoneum due to persistent trophoblastic implants after laparoscopic salpingectomy for unruptured right tubal pregnancy successfully treated. Pathological findings show trophoblastic tissue in the first report and degenerated chorionic villi and extra tubal trophoblastic implants in the second. Conclusion: This case is reported to increase the awareness on persistent trophoblastic implant after laparoscopic salphingectomy for unruptured tubal pregnancy and its consequences.