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Re: Ectopic pregnancy on the pelvic wallFrom: Marco A. Pelosi, III, MD (marcop@tao.agoron.com)Tue Apr 7 18:42:48 1998
At Wed, 1 Apr 1998, Ricardo Savaris wrote: > >OK folks, > >I was leaving my on call, and my collegue told me about his case on other >hospital with better facilities than mine. So I started to wander what I >would do if: >It is sunday night, no laboratory, no Gelfoam, no cautery, no blood bank, >and a patient cames in hypovolemic shock with LMP 8 weeks ago. > >I do a laparotomy and find an ectopic pregnancy with infiltration of the >trophoblast on the pelvic wall, over the great vassels (hypogastric) and it >is bleeding. What would I do? > Open the pelvic sidewall peritoneum lateral to the problem, reflect it medially, and check if the tissue invades the vessel. If it invades, dissect the vessel free and ligate proximally. If it doesn't invade, resect the involved peritoneum and trophoblast together and go home.
-- M.A. Pelosi, III, MD
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