Single-port laparoscopic surgery for patients with ectopic pregnancies after renal transplantations

Introduction: In the field of gynecology, there have been few reports of laparoscopic surgery following renal transplantation. Thus, important aspects of perioperative management have not yet been elucidated. Here, we report a case of laparoscopic surgery for ectopic pregnancy following renal transplantation. Case presentation: The patient, a 37-year-old nulligravid woman who had undergone right kidney transplantation, presented to her local physician with abdominal pain and abnormal vaginal bleeding. She was diagnosed with a right tubal pregnancy and transported to our hospital, where she was scheduled to undergo a single-port laparoscopic, right tubal resection. Preoperative transabdominal sonography was performed to confirm the transplanted kidney's location in the pelvis. The patient was at risk for postoperative wound infection because she was receiving immunosuppressants; however, no signs of infection were observed. Furthermore, since she had renal dysfunction prior to surgery, pain control was managed with minimal analgesics that could have adverse effects on the kidneys. Renal dysfunction was not exacerbated. Conclusions: For patients with ectopic pregnancies following renal transplantation, laparoscopic surgery may need to be performed, as it is less invasive compared with laparotomy. Furthermore, single-port laparoscopic surgery has a lower risk of renal injury during port insertion than multiple-port laparoscopic surgery.