{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:02:37Z","timestamp":1760148157062,"version":"build-2065373602"},"reference-count":14,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: Trophoblastic tissue reimplantation after laparoscopic salpingectomy is a very rare complication. These cases may present a diagnostic challenge and the majority of patients need a surgical treatment. Case presentation: A 31-year-old patient came to a tertiary referral center for nausea and pain in the upper left abdominal quadrant. Ultrasound and abdominal CT scan showed a 68 \u00d7 60 \u00d7 87 mm size heterogenic mass below the spleen with arterial extravasation from the lower spleen pole. Recent history of surgery for ectopic pregnancy and serum hCG testing allowed to diagnose extratubal secondary trophoblastic tissue reimplantation below the spleen. Embolization of the bleeding vessel and successful treatment with methotrexate was achieved. Conclusions: In cases of a nondisseminated trophoblastic tissue reimplantation, consider embolization and treatment with methotrexate if the patient is hemodynamically stable; thus, secondary surgical treatment is preventable.<\/jats:p>","DOI":"10.3390\/medicina59040701","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T02:30:15Z","timestamp":1680575415000},"page":"701","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trophoblastic Tissue Reimplantation below the Spleen Following Laparoscopic Bilateral Salpingectomy for Ectopic Tubal Pregnancy: A Case Report"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6790-6921","authenticated-orcid":false,"given":"Dominyka","family":"Surgontait\u0117","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Art\u016bras","family":"Sukovas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalia Regina","family":"Railait\u0117","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tautvydas","family":"Jankauskas","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnoldas","family":"Bartusevi\u010dius","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Egl\u0117","family":"Bartusevi\u010dien\u0117","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, 50161 Kaunas, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/S0140-6736(05)67103-6","article-title":"Ectopic pregnancy","volume":"366","author":"Farquhar","year":"2005","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1111\/1471-0528.14189","article-title":"Diagnosis and management of ectopic pregnancy","volume":"123","author":"Elson","year":"2016","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_3","unstructured":"NICE Guideline (2019). Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management, NICE. Available online: https:\/\/www.nice.org.uk\/guidance\/ng126\/resources\/ectopic-pregnancy-and-miscarriage-diagnosis-and-initial-management-pdf-66141662244037."},{"key":"ref_4","unstructured":"Tulandi, T. (2022, June 01). Ectopic Pregnancy: Surgical Treatment. Available online: https:\/\/www.uptodate.com\/contents\/ectopic-pregnancy-surgical-treatment?search=Ectopic%20pregnancy:&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5."},{"key":"ref_5","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":"Goldchmit","year":"2001","journal-title":"Eur. J. Obstet. Gynecol. Reprod. 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Invasive Gynecol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/4\/701\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:09:14Z","timestamp":1760123354000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/4\/701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,3]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["medicina59040701"],"URL":"https:\/\/doi.org\/10.3390\/medicina59040701","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2023,4,3]]}}}