Objective: To describe a case of omental implantation of gestational tissue following laparoscopic salpingectomy for ruptured tubal ectopic pregnancy, with large bilateral multiseptated clear ovarian cysts and a mesenteric defect in a segment of intestine.
Design: Case Report.
Setting: Dept of Obstetrics & Gynae, BLK Superspeciality Hospital, Pusa Road New Delhi.
Patient: A 31 year old presenting 32 days after laparoscopic salpingectomy with acute abdomen.
Intervention: Partial Omentectomy, Bilateral ovarian cystectomy, Segmental intestinal resection with side to side anastomosis.
Main outcome measure: Serial Beta HCG measurement and partial omentectomy.
Results: Histopathological examination confirmed omental pregnancy, serial beta HCG showed a rapid fall after surgery.
Conclusion: Secondary omental pregnancy or implantation of trophoblastic tissue on omentum though rare can occur after laparoscopic salpingectomy. Hence caution in aspiration of blood products and tissue fragments, meticulous extraction of trophoblastic tissue preferably using a tissue retrieval bag, and careful follow up with serial beta HCG should be done.