Primary ovarian pregnancy is one of
the rarest varieties of ectopic pregnancies. Patients frequently present with
abdominal pain and menstrual irregularities. Preoperative diagnosis is
challenging but transvaginal sonography has often been helpful. A diagnostic
delay may lead to rupture, secondary implantation or operative difficulties.
Therefore, awareness of this rare condition is important in reducing the
associated risks. Here, we report a case report of ovarianpregnancy presented. A 29-year-old
woman, nulliparous, was admitted to the hospital forsuspected ectopic
pregnancy. A transvaginal sonography failed to hint at ovarian ectopic. She was
successfully managed by surgery and histological studies confirmed an ovarian
pregnancy.
References
[1]
Adeniran, A. and Stanek, J. (2003) Ovarian Pregnancy. Archives of Pathology and Laboratory Medicine, 127, 1635-1636.
[2]
Ectopic Pregnancy—United States (1995) Morbidity Mortality. Weekly Report, 44, 44-46.
[3]
Ercal, T., Cinar, O., Mumcu, A., et al. (1997) Ovarian Pregnancy; Relationship to an Intrauterine Device. Australian and New Zealand Journal of Obstetrics & Gynaecology, 37, 362-364.
http://dx.doi.org/10.1111/j.1479-828X.1997.tb02434.x
[4]
Vasilev, S.A. and Sauer, M.V. (1990) Diagnosis and Modern Surgical Management of Ovarian Pregnancy. Surgery Gynecology & Obstetrics. Journal of the American College of Surgeons, 170, 395-398.
[5]
Fernandez, H., Coste, J. and Job-Spira, N. (1991) Controlled Ovarian Hyperstimulation as a Risk Factor for Ectopic Pregnancy. Obstetrics and Gynecology, 78, 656-659.
[6]
Hallatt, J.G. (1982) Primary Ovarian Pregnancy: A Report of Twenty-Five Cases. American Journal of Obstetrics and Gynecology, 143, 55-60.
[7]
Raziel, A., Schachter, M., Mordechai, E., et al. (2004) Ovarian Pregnancy—A 12-Year Experience of 19 Cases in One Institution. European Journal of Obstetrics and Gynecology and Reproductive Biology, 114, 92-96.
http://dx.doi.org/10.1016/j.ejogrb.2003.09.038
[8]
Stucki, D. and Buss, J. (2008) The Ectopic Pregnancy, a Diagnostic and Therapeutic Challenge. Journal of Medicine and Life, 1, 40-48.
[9]
Plotti, F., Di Giovanni, A., Oliva, C., et al. (2008) Bilateral Ovarian Pregnancy after Intrauterine Insemination and Controlled Ovarian Stimulation. Fertility and Sterility, 90, e3-e5.
[10]
Spiegelberg, H. (1878) Zot casuistic der ovarial schwangetsshaft. Archives Gynaecology, 13, 73-77.
http://dx.doi.org/10.1007/BF01991416
[11]
Royal College of Obstetrics and Gynaecologists (2004) The Management of Tubal Pregnancies. Guideline Number 21.
[12]
Tinelli, A., Hudelist, G., Malvasi, A., et al. (2008) Laparoscopic Management of Ovarian Pregnancy. Journal of the Society of Laparoendoscopic Surgeons, 12, 169-172.
[13]
Gaudoin, M.R., Coulter, K.L., Robins, A.M., et al. (1996) Is the Incidence of Ovarian Ectopic Pregnancy Increasing? European Journal of Obstetrics and Gynaecology and Reproductive Biology, 70, 141-143.
http://dx.doi.org/10.1016/S0301-2115(95)02557-X
[14]
Habbu, J. and Read, M.D. (2006) Ovarian Pregnancy Successfully Treated with Methotrexate. Journal of Obstetrics and Gynaecology, 26, 587-588. http://dx.doi.org/10.1080/01443610600831357
