Abdominal Bleeding from Omental Trophoblastic Implants After Laparoscopic Salpingostomy

Abstract

Laparoscopic salpingostomy is commonly performed to preserve fertility in cases of ectopic tubal pregnancy. However, persistent ectopic pregnancy (PEP) possibly occurs because of remaining trophoblastic tissue inside and/or outside the fallopian tube. We report an uncommon case of a woman who had severe abdominal bleeding caused by omental trophoblastic implants after laparoscopic salpingostomy. To prevent such a severe complication after initial surgery, local or systemic adjuvant therapy such as methotrexate therapy should be considered in high-risk PEP cases.