Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei City, Taiwan.
Fertil Steril. 2011 Jun;95(7):2435.e1-3. doi: 10.1016/j.fertnstert.2011.01.165. Epub 2011 Feb 19.
To describe a case of severe intra-abdominal bleeding from omental implants after laparoscopic linear salpingostomy for ectopic pregnancy (EP).
Case report.
A medical center.
PATIENT(S): A 27-year-old woman, presenting 15 days after methotrexate (MTX) treatment for persistent EP (35 days after laparoscopic linear salpingostomy for EP).
INTERVENTION(S): Partial omentectomy.
MAIN OUTCOME MEASURE(S): Serial β-hCG levels after partial omentectomy.
RESULT(S): Histopathologic examination confirmed omental pregnancy. Her β-hCG levels decreased rapidly from 1,673 mIU/mL to 1.35 mIU/mL within 14 days after partial omentectomy.
CONCLUSION(S): Persistent EP after laparoscopic linear salpingostomy can occur in the omentum; meticulous clinical follow-up should be performed, especially when IM MTX injection was used as the salvage treatment for persistent EP.
描述一例腹腔镜线性输卵管切开术治疗异位妊娠（EP）后网膜种植引起严重腹腔内出血的病例。
病例报告。
一家医疗中心。
一名 27 岁女性，在接受甲氨蝶呤（MTX）治疗持续性 EP（腹腔镜线性输卵管切开术治疗 EP 后 35 天）后 15 天就诊。
部分网膜切除术。
部分网膜切除术后β-hCG 水平的变化。
组织病理学检查证实为网膜妊娠。部分网膜切除术后 14 天内，她的β-hCG 水平从 1673mIU/mL 迅速降至 1.35mIU/mL。
腹腔镜线性输卵管切开术治疗后持续性 EP 可发生在网膜上；应进行仔细的临床随访，尤其是当 IM MTX 注射作为持续性 EP 的挽救性治疗时。
