Trophoblastic peritoneal implants after laparoscopic treatment of ectopic pregnancy

Persistent trophoblastic activity after salpingostomy for ectopic pregnancy implies the presence of intra-abdominal trophoblastic tissue. usually with in the Fallopian tube. We report a case of disseminated trophoblastic perit oneal implants, presenting as hemoperitoneum three weeks after laparoscopic salpingectomy. Only 23 such cases have been reported. Surgical treatment o f ectopic pregnancy, especially by the laparoscopic technique, may cause in traperitoneal spread and reimplantation of trophoblastic tissue. Precaution s for minimizing this complication are discussed. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.