ovarian Pregnancy in a Patient with Two Previous Ectopic Pregnancies

Document Type : Case report

Authors

Abstract

Introduction: Although the total number of pregnancies has declined over the past three decades, the rate of ectopic pregnancies has continued to increase in most western nations and it still accounts for ten percent of all maternal death. This report is the introduction of ovarian ectopic pregnancy in a patient with recurrent ectopic pregnancy.
 
Case Report: The patient was a 35 year old woman (gestational age = 6 weeks) with history of 2 previous ectopic pregnancies (treated with right salpyngectomy in the first and expectant management in the second ectopic pregnancy) and presentation of hypogastric pain, , and empty uterine cavity at vaginal sonography. The patient was operated due to clinical diagnosis of ectopic pregnancy and histopathological report was ovarian pregnancy.
 
Conclusion: This case report confirmed that ovarian pregnancy is rare and difficult to diagnose clinically and even intraoperativly. Ovarian pregnancy can be detected early with the use of combined transvaginal sonography and serum level. The standard of care is conservative treatment in order to preserve patient’s fertility. Recurrence is exceptional and future fertility is usually preserved.

Keywords

References

1. Rock JA,Jones HW.Telinde’s Operative Gynecology.9th ed.Philadelphia:Lippincott Williams
Wilkins; 2003 . 507-32
2. Cunningham FG, Leveno KJ,Bloom SL, Hauth JC,Gilstrap LC,Wenstrom KD.Williams
Obstetrics .22nd ed,New york:MC Graw-Hill;2005 . 253- 268
3. Berek JS.Novak’s gynecoloy .13 th,ed,Philadelphia:Lippincott Williams Wilkins;2002.510-
511.
4. Itoh H,Ishihara A,Koita H, Hatakeyama K,Segunchi T,Akiyamay,et al. Ovarian Pregnancy :
report of four cases and review of the literature.Pathology Int.2003 Nov;53(11):806-9
5. Sergent F,Mauger-Tinlot F,Gravier A,Verspyck E,Marpeaul. Ovarian Pregnancy:revaluation
of diagnostic criteria.J Gynecol Obstet Biol Report(paris).2002 Dec;31
6. Raziel A,Schachter M, Mordechai E, Friedler S, Panski M,Ron-EIR. Ovarian Pregnancy-a
12-year experience of 19 cases in one institution. Eur J Obstet Gynecol Report Biol 2004
May 10;114(1):92-6
7. Sachdev Ps, Memon RA, Jatoi N ,Sachdev cs. Ectopic Ovarian Pregnancy. J Coll Physicians
Surg Pak 2003 Apr;13(4):229-30
8. Phupong V,Ultchaswadip.Primary Ovarian Pregnancy.J Med Assoc Thai 2005,
apr;88(4):527-90
9. [Article in French].[ Ovarian Pregnancy:the situation in 2003.A report of four cases and
literature review] .Tunis Med.2004 Sep;82(9):858-66 
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 10, Issue 2 - Serial Number 2
September 2008
Pages 97-100

Files

Share

How to cite

Statistics