Persistence of a persistent ectopic pregnancy

Laparoscopic recognition and treatment

A. B. Copperman, David Seifer, S. Hirschman, J. V. Reyniak

Research output: Contribution to journalArticle

Abstract

We present a case of a 32-year-old woman who underwent treatment with both linear salpingostomy and methotrexate for an ectopic pregnancy, finally resulting in undetectable β-hCG titers. Despite her clinical response to these combined interventions, she continued to harbor persistent trophoblastic tissue 9 months later. The histologic verification of chronic trophoblastic tissue persisting with negative β-hCG titers has not been reported. We suspect that retained trophoblastic tissue may explain some reports of persistent masses noted by ultrasound and may also explain some cases of tubal occlusion following conservative treatment of ectopic pregnancies. Given the increasing prevalence of conservatively managed tubal pregnancies, the gynecologic surgeon should be aware of this clinical entity, enabling the surgeon to look for, recognize, and treat the persistent tissue appropriately.

Original languageEnglish (US)
Pages (from-to)181-184
Number of pages4
JournalJournal of Gynecologic Surgery
Volume11
Issue number3
StatePublished - 1995
Externally publishedYes

Fingerprint

Ectopic Pregnancy
Salpingostomy
Tubal Pregnancy
Tubal Sterilization
Therapeutics
Methotrexate
Surgeons

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Copperman, A. B., Seifer, D., Hirschman, S., & Reyniak, J. V. (1995). Persistence of a persistent ectopic pregnancy: Laparoscopic recognition and treatment. Journal of Gynecologic Surgery, 11(3), 181-184.

Persistence of a persistent ectopic pregnancy : Laparoscopic recognition and treatment. / Copperman, A. B.; Seifer, David; Hirschman, S.; Reyniak, J. V.

In: Journal of Gynecologic Surgery, Vol. 11, No. 3, 1995, p. 181-184.

Research output: Contribution to journalArticle

Copperman, AB, Seifer, D, Hirschman, S & Reyniak, JV 1995, 'Persistence of a persistent ectopic pregnancy: Laparoscopic recognition and treatment', Journal of Gynecologic Surgery, vol. 11, no. 3, pp. 181-184.
Copperman, A. B. ; Seifer, David ; Hirschman, S. ; Reyniak, J. V. / Persistence of a persistent ectopic pregnancy : Laparoscopic recognition and treatment. In: Journal of Gynecologic Surgery. 1995 ; Vol. 11, No. 3. pp. 181-184.
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