Diagnosis Of Ovarian Ectopic Pregnancy Research Articles

A Rare Case of Primary Ovarian Ectopic Pregnancy

Primary ovarian ectopic means implantation of gestational sac in the ovary. It is a rare form of non-tubal ectopic pregnancy and accounts for 3% of all ectopic pregnancy. Most cases ovarian pregnancy terminate with rupture in first trimester of pregnancy, which has a potential for life threatening massive hemorrhage. Etiology is not fully understood but association has been reported with usage of intra uterine device. Diagnosis of ovarian ectopic pregnancy preoperatively is challenging, and most cases are diagnosed intraoperatively. Here we report a case of primary ovarian ectopic pregnancy.

Diagnosis and Management of Ectopic Pregnancy: Green-top Guideline No. 21.

Diagnosis and Management of Ectopic Pregnancy: Green-top Guideline No. 21.

Sonographic Detection of Ovarian Ectopic Pregnancy

Sonography is the imaging modality of choice to evaluate suspected intrauterine and extrauterine pregnancies. Determining the anatomic location of an ectopic pregnancy can be challenging, particularly when the ectopic is located external to the fallopian tube. Ovarian ectopic pregnancy is one of the rarest forms of nontubal ectopics. This report documents one such uncommon case of ovarian pregnancy in a woman presenting with light vaginal bleeding in early pregnancy, with subsequent rupture and laparotomy. Histopathologic analysis confirmed the diagnosis of ovarian ectopic pregnancy.

Ovarian Ectopic Pregnancy: A Rare Case Report

ABSTRACT Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. Ovarian ectopic pregnancy incidence after natural conception ranges from 1 in 2000 to 1 in 60,000 deliveries and accounts for 3% of all ectopic pregnancies. Here, we report a rare case of ruptured ectopic pregnancy. A 30 years old, G2P1+0L1 was admitted with amenorrhea of 1½ months and severe pain abdomen. Self urinary pregnancy test (UPT) was positive. Ultrasonography (USG) revealed it sided adnexal mass. Emergency laparotomy was done and a diagnosis of ovarian ectopic pregnancy was made. How to cite this article Dahiya S, Khan S, Premi HK, Amrin S, Srivastava S. Ovarian Ectopic Pregnancy: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):23-24.

Value of Serial Ultrasounds in Early Diagnosis and Management of Prerupture Ovarian Ectopic Pregnancy: A Case Report

Background: Primary ovarian pregnancy is a rare form of ectopic pregnancy. Even with the advance of ultrasound techniques and the sonographic establishment of fetal development, most ovarian pregnancies are found ruptured at the time of diagnosis or are a surprise finding at the time of surgery. In these cases, the associated hemorrhage is usually heavy and in approximately 23% of cases, the patients develop hypovolemic shock requiring blood transfusion. Case: A 30-year-old female patient at 7.4 weeks by a certain LMP presented for prenatal care. An ultrasound at the time of presentation revealed no intrauterine gestational sac. There was however, a simple cystic mass contiguous with the left ovary. Subsequently, the patient had a BhCG level drawn which was not consistent with the ultrasound image and therefore was felt to be abnormal. A primary ovarian pregnancy was suspected after serial ultrasounds revealed an enlarging cystic ovarian mass and serial quantitative human Chorionic Gonadotripin (hCG) levels were abnormal. In addition, the patient started feeling left lower quadrant abdominal discomfort and reported a scant amount of vaginal bleeding. Due to the suspicion of a possible ovarian ectopic pregnancy, a diagnostic laparoscopy was discussed with the patient. The suspicion was solidified, in order to avoid rupture, a diagnostic laparoscopy was made and the ovarian ectopic pregnancy was confirmed. A wedge resection of the ovarian cyst was performed and the final histopathology confirmed a primary ovarian pregnancy. Conclusion: Ultrasounds have been proven safe for management of obstetrical patients. The sonographic parameters for fetal development from conception to delivery have been well established and published.2 At this time, ultrasound is the best tool in detecting abnormal fetal development in pregnancy. In this case, serial ultrasound examinations in the early stage of the first trimester and inappropriately rising serial BhCG levels provide the clues for detecting the prerupture diagnosis of ovarian ectopic pregnancy. The combination of these two modalities and pelvic examination increase the suspicion of a diagnosis of an ovarian pregnancy and will lead to a prompt intervention to prevent morbidity, mortality and to the preservation of future fertility.

Laparoscopic management of a primary ectopic ovarian pregnancy and vaginal douching as a possible cause

Ovarian pregnancy is a rarely seen form of ectopic pregnancies. We present a 34-year-old women who had a diagnosis of ovarian ectopic pregnancy based on clinical and laboratory findings. Laparoscopic surgery was performed for conservative management of the case. Risk factors are outlined and vaginal douching as a possible cause for ectopic pregnancies have been discussed. We suppose that frequent vaginal douching may be a risk factor for the development of ovarian ectopic pregnancies.