Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.

Jan Persson; Petur Reynisson; Anna Måsbäck; Elisabeth Epstein; Pia Saldeen

doi:10.3109/00016341003623779

Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.

Jan Persson, Petur Reynisson, Anna Måsbäck, Elisabeth Epstein, Pia Saldeen

Research output: Contribution to journal › Article › peer-review

Abstract

Abstract 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.

Original language	English
Pages (from-to)	835-839
Journal	Acta Obstetricia et Gynecologica Scandinavica
Volume	APR 8
DOIs	https://doi.org/10.3109/00016341003623779
Publication status	Published - 2010

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Molecular Reproductive Medicine (013241710), Department of Obstetrics and Gynaecology (Lund) (013018000), Pathology, (Lund) (013030000)

Subject classification (UKÄ)

Obstetrics, Gynecology and Reproductive Medicine

Access to Document

10.3109/00016341003623779

http://www.ncbi.nlm.nih.gov/pubmed/20334587?dopt=Abstract

Cite this

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title = "Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.",

abstract = "Abstract 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.",

author = "Jan Persson and Petur Reynisson and Anna M{\aa}sb{\"a}ck and Elisabeth Epstein and Pia Saldeen",

note = "The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Molecular Reproductive Medicine (013241710), Department of Obstetrics and Gynaecology (Lund) (013018000), Pathology, (Lund) (013030000)",

year = "2010",

doi = "10.3109/00016341003623779",

language = "English",

volume = "APR 8",

pages = "835--839",

journal = "Acta Obstetricia et Gynecologica Scandinavica",

issn = "1600-0412",

publisher = "Wiley-Blackwell",

}

Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply. / Persson, Jan ; Reynisson, Petur; Måsbäck, Anna et al.
In: Acta Obstetricia et Gynecologica Scandinavica, Vol. APR 8, 2010, p. 835-839.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.

AU - Persson, Jan

AU - Reynisson, Petur

AU - Måsbäck, Anna

AU - Epstein, Elisabeth

AU - Saldeen, Pia

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Molecular Reproductive Medicine (013241710), Department of Obstetrics and Gynaecology (Lund) (013018000), Pathology, (Lund) (013030000)

PY - 2010

Y1 - 2010

N2 - Abstract 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.

AB - Abstract 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.

U2 - 10.3109/00016341003623779

DO - 10.3109/00016341003623779

M3 - Article

C2 - 20334587

SN - 1600-0412

VL - APR 8

SP - 835

EP - 839

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

ER -

Histopathology indicates lymphatic spread of a pelvic retroperitoneal ectopic pregnancy removed by robot-assisted laparoscopy with temporary occlusion of the blood supply.

Abstract

Bibliographical note

Subject classification (UKÄ)

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