Cargando…
Secondary pregnancy by an implant in a laparoscopic trocar site: A case report
RATIONALE: For nearly 20 years, laparoscopy has been generally regarded as the gold standard for the surgical treatment of ectopic pregnancy and its application is very widespread. According to our knowledge, secondary pregnancy at the laparoscopic trocar site has not yet been reported until now. PA...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392724/ https://www.ncbi.nlm.nih.gov/pubmed/29718845 http://dx.doi.org/10.1097/MD.0000000000010534 |
_version_ | 1783398537520742400 |
---|---|
author | Ma, Zhihua Zhao, Lanbo Xu, Na Sun, Chao Wang, Qi Wang, Yueling Li, Qiling Lu, Qinrui |
author_facet | Ma, Zhihua Zhao, Lanbo Xu, Na Sun, Chao Wang, Qi Wang, Yueling Li, Qiling Lu, Qinrui |
author_sort | Ma, Zhihua |
collection | PubMed |
description | RATIONALE: For nearly 20 years, laparoscopy has been generally regarded as the gold standard for the surgical treatment of ectopic pregnancy and its application is very widespread. According to our knowledge, secondary pregnancy at the laparoscopic trocar site has not yet been reported until now. PATIENT CONCERNS: A 24-year-old Chinese female patient is reported herein. Her left fallopian tube was removed via laparoscopy due to a first ectopic pregnancy. Her postoperative blood β-human chorionic gonadotropin (β-hCG) was increasing with irregular vaginal bleeding. The patient was initially regarded as having an old ectopic pregnancy. DIAGNOSES: Secondary pregnancy by an implant in a laparoscopic trocar Site. INTERVENTIONS: Because of secondary pregnancy at the laparoscopic port site, laparoscopic surgery was performed again 32 days after the first operation. Approximately 1000 milliliters (mL) of free intraperitoneal hemorrhage and active bleeding of the lesion were detected. Histopathologic examination confirmed the lesion was the result of pregnancy with visible villous tissue. OUTCOMES: Her blood β-hCG gradually declined to a normal range in 28 days after the second operation. Menstruation occurred on day 20 after the second operation, and the duration and quantity were normal. LESSONS: Although laparoscopy has many advantages, secondary pregnancy at the laparoscopic trocar port wound caused the patient enormous physical and mental pain and increased the medical costs. The etiology of secondary ectopic pregnancy at the laparoscopic puncture site was mainly an iatrogenic factor. Therefore, the procedure should be standardized to avoid its occurrence. |
format | Online Article Text |
id | pubmed-6392724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-63927242019-03-15 Secondary pregnancy by an implant in a laparoscopic trocar site: A case report Ma, Zhihua Zhao, Lanbo Xu, Na Sun, Chao Wang, Qi Wang, Yueling Li, Qiling Lu, Qinrui Medicine (Baltimore) Research Article RATIONALE: For nearly 20 years, laparoscopy has been generally regarded as the gold standard for the surgical treatment of ectopic pregnancy and its application is very widespread. According to our knowledge, secondary pregnancy at the laparoscopic trocar site has not yet been reported until now. PATIENT CONCERNS: A 24-year-old Chinese female patient is reported herein. Her left fallopian tube was removed via laparoscopy due to a first ectopic pregnancy. Her postoperative blood β-human chorionic gonadotropin (β-hCG) was increasing with irregular vaginal bleeding. The patient was initially regarded as having an old ectopic pregnancy. DIAGNOSES: Secondary pregnancy by an implant in a laparoscopic trocar Site. INTERVENTIONS: Because of secondary pregnancy at the laparoscopic port site, laparoscopic surgery was performed again 32 days after the first operation. Approximately 1000 milliliters (mL) of free intraperitoneal hemorrhage and active bleeding of the lesion were detected. Histopathologic examination confirmed the lesion was the result of pregnancy with visible villous tissue. OUTCOMES: Her blood β-hCG gradually declined to a normal range in 28 days after the second operation. Menstruation occurred on day 20 after the second operation, and the duration and quantity were normal. LESSONS: Although laparoscopy has many advantages, secondary pregnancy at the laparoscopic trocar port wound caused the patient enormous physical and mental pain and increased the medical costs. The etiology of secondary ectopic pregnancy at the laparoscopic puncture site was mainly an iatrogenic factor. Therefore, the procedure should be standardized to avoid its occurrence. Wolters Kluwer Health 2018-05-04 /pmc/articles/PMC6392724/ /pubmed/29718845 http://dx.doi.org/10.1097/MD.0000000000010534 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0 |
spellingShingle | Research Article Ma, Zhihua Zhao, Lanbo Xu, Na Sun, Chao Wang, Qi Wang, Yueling Li, Qiling Lu, Qinrui Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title | Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title_full | Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title_fullStr | Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title_full_unstemmed | Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title_short | Secondary pregnancy by an implant in a laparoscopic trocar site: A case report |
title_sort | secondary pregnancy by an implant in a laparoscopic trocar site: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392724/ https://www.ncbi.nlm.nih.gov/pubmed/29718845 http://dx.doi.org/10.1097/MD.0000000000010534 |
work_keys_str_mv | AT mazhihua secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT zhaolanbo secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT xuna secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT sunchao secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT wangqi secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT wangyueling secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT liqiling secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport AT luqinrui secondarypregnancybyanimplantinalaparoscopictrocarsiteacasereport |