{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:55:46Z","timestamp":1774479346285,"version":"3.50.1"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,1,12]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Ectopic pregnancy is a one of the primary causes of maternal mortality in first trimester. The most common site of ectopic pregnancy is the fallopian tube. Surgical management of tubal ectopic pregnancy includes salpingotomy or salpingectomy. Persistent ectopic pregnancy can happen after salpingotomy due to incomplete removal of ectopic tissue. However, it is very rare after salpingectomy. In our case, the patient had right-sided salpingectomy and histology confirmed right-sided tubal ectopic pregnancy. She presented 19 days\u2019 later with abdominal pain, haemoperitoneum and persistent high beta-HCG (B-HCG). A second laparoscopy was done and tissue implants were removed from the surface of the right ovary and the omentum, which were confirmed to be products of conception on histology. The pain settled postoperative. However, B-HCG remained high postoperative. Subsequently, methotrexate treatment was given leading to full resolution of the pregnancy with one dose.<\/jats:p>","DOI":"10.1136\/bcr-2023-257693","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T02:06:39Z","timestamp":1706148399000},"page":"e257693","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Methotrexate treatment for peritoneal trophoblastic implants after laparoscopic salpingectomy and secondary laparoscopic excision of ectopic pregnancy"],"prefix":"10.1136","volume":"17","author":[{"given":"Mohamed A","family":"Maher","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"},{"name":"Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Fairley","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pinky","family":"Khatri","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aethele","family":"Khunda","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"2025082707511006000_17.1.e257693.1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14189"},{"key":"2025082707511006000_17.1.e257693.2","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/S0301-2115(00)00385-7","article-title":"Trophoblastic peritoneal implants after laparoscopic treatment of ectopic pregnancy","volume":"96","author":"Ben-Arie","year":"2001","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082707511006000_17.1.e257693.3","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dev162"},{"key":"2025082707511006000_17.1.e257693.4","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s10397-005-0111-y","article-title":"Persistent peritoneal trophoblastic implantation following salpingotomy, salpingectomy, and methotrexate for ectopic pregnancy","volume":"2","author":"Salleh","year":"2005","journal-title":"Gynecol Surg"},{"key":"2025082707511006000_17.1.e257693.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0852-8"},{"key":"2025082707511006000_17.1.e257693.6","unstructured":"Ectopic pregnancy and miscarriage: diagnosis and initial management. 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