Ovarian Ectopic Pregnancy Research Articles

Ovarian ectopic pregnancy: a review article

Ectopic pregnancy is a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies. Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2ndmost common site of ectopic pregnancy after fallopian tube. Annual incidence of extra uterine cavity pregnancy is rising over past 3 yrs. The aim of ourpresent study isto find out the incidence of ovarian ectopic pregnancy, role of USG in pre-operative diagnosisand risk factors, feasibility of conservative management with medical method or conservative management e.g. minimal invasive surgery in developing countries like India. We analysed the incidence, management of ovarian pregnancy & reviewed the literature, risk factors and clinical presentation of ovarian ectopic pregnancies managed at NIMS Medical College and Hospital jaipur. According to Spielberg criteria, it is a diagnostic challenge to obstetrician. Diagnosis of ectopic pregnancy can be missed radio logically and intra operatively. It Should be suspected in patients presented with rupturedectopic pregnancy, ultrasound features suggestive of normal bilateralfallopian tube with hemo peritoneum with breached ovarian surface. Conservative surgical approach is preferred, now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathological report. Now daysMedical management with single dose of Methotrexate is very successful for un ruptured ovarian pregnancy

Spontaneous ovarian heterotopic pregnancy mimicking ovarian malignant tumor: case report

Spontaneous ovarian heterotopic pregnancy is extremely rare. Ovarian ectopic pregnancy frequently resembles hemorrhagic corpus luteum cyst, but possibly mimics ovarian malignant tumor due to inhomogeneous echogenic appearance in some instances. Emergency laparotomy was performed for a seven-week spontaneous ovarian heterotopic pregnancy, because the ovarian cystic tumor exhibited a solid part on ultrasonography, therefore malignancy could not be ruled out. Postoperative course was uneventful, and the intrauterine fetus grew without complications, resulting in spontaneous vaginal delivery at 39 weeks of gestation. The possibility of an ovarian heterotopic pregnancy should be suspected, when an ovarian tumor is detected during pregnancy. These findings help physicians to diagnose ovarian heterotopic pregnancy or isolated ovarian ectopic pregnancy, to reduce maternal morbidity and mortality, and provide satisfactorily ongoing intrauterine gestation in heterotopic pregnancy.

Misdiagnosed Ovarian Pregnancy to Threatened Abortion: A Case Report

: This study is about a patient with a history of infertility and polycystic ovarian disease who was admitted with spotting and severe abdominal pain, There was one misdiagnosis about this patient and progesterone was prescribed for treating of threatened abortion, following transvaginal ultrasound, one heterogeneous echogenic mass with dimensions of 5.8 × 18 in the vicinity of the left ovary was reported in favor of ectopic pregnancy. The patient was hospitalized and treated with methotrexate with diagnosis of an ovarian ectopic pregnancy. Pregnant women with complaints of bleeding and spotting in early pregnancy should be evaluated in terms of ectopic pregnancy in addition of abortion and molar pregnancy. The aim of this study was to introduce a new case of misdiagnosed ovarian pregnancy instead of threatened abortion.

446 - Successful Surgical Management of Ovarian Ectopic Pregnancy

446 - Successful Surgical Management of Ovarian Ectopic Pregnancy

Ovarian ectopic pregnancy: a case report with review of literature

Background: Ectopic pregnancyis a major health issue in reproductive age group female. Aim and Objective: Aim of this review article is basically to describe a case of ovarian pregnancy and to study by a review of literature, the clinical sign &symptoms, diagnostic criteria and management of particular pathlogy accordingly, promote conservative surgical management. Conclusion: According to spigelbergcriteria,it is a diagnostic challenge to obstetrician. Diagnosis can be missed radiologically and intraopertively.

Primary ovarian ectopic pregnancy: A rare condition (Case Series)

Primary ovarian pregnancy is one of the rarest varieties of ectopic pregnancies and is usually seen in young highly fertile multiparous women using intra uterine devices. Primary ovarian pregnancy accounts for 0.153% of all ectopic gestations. Patients frequently present with lower abdominal pain and menstrual irregularities. Preoperative diagnosis is challenging in these patients. Awareness about primary ovarian ectopic pregnancy is very important as delay in the diagnosis of this condition may result in certain complications including rupture, operative problems and secondary implantation. Here, we are presenting three cases of primary ovarian ectopic pregnancies presented with acute abdominal pain and were diagnosed as a case of a ruptured ectopic pregnancy. All these cases were confirmed intra-operatively and histopathologically as primary ovarian pregnancy. All the cases were successfully managed by surgery.

Ovarian Ectopic Pregnancy: A Report of Two Cases with Variable Presentation

Ovarian Ectopic Pregnancy: A Report of Two Cases with Variable Presentation

Report of a Case with Simultaneous Ovarian Cyst Torsion and Ectopic Pregnancy in the Right Adnexa after Spontaneous Pregnancy

Report of a Case with Simultaneous Ovarian Cyst Torsion and Ectopic Pregnancy in the Right Adnexa after Spontaneous Pregnancy

CT and MR Imaging of Gynecologic Emergencies.

Gynecologic emergencies include various diseases that result from adnexal and uterine disorders. Adnexal disorders may be classified into the following three categories: (a) disorders that cause hemorrhage (hemorrhagic ovarian cysts and ectopic pregnancies); (b) disorders related to adnexal tumors (adnexal torsion and rupture of ovarian tumors); and (c) disorders related to pelvic inflammatory disease, such as tubo-ovarian abscesses. Unusual adnexal torsion, such as massive ovarian edema, isolated fallopian tube torsion, and paraovarian cyst torsion, has also been described. Uterine disorders in gynecologic emergencies may be classified into two categories: (a) acute fibroid complications, including red degeneration of a uterine leiomyoma, torsion of subserosal myomas, and torsion of the uterus; and (b) causes of acute uterine bleeding, including retained products of conception and uterine arteriovenous malformations. Some gynecologic diseases are self-limited, while others cause infertility or life-threatening infection or bleeding if left untreated. Therefore, prompt and accurate diagnosis is important for appropriate life-saving treatment and for the preservation of fertility. The imaging findings are important when evaluating acute gynecologic diseases because the symptoms and physical examination findings are often nonspecific and limited. Ultrasonography is the first-line imaging modality; however, when a definitive diagnosis cannot be established, computed tomography (CT) and magnetic resonance (MR) imaging may narrow the differential diagnosis. Appropriate management requires radiologists to be familiar with the CT and MR imaging features of gynecologic emergencies. With respect to rare conditions, radiologists should take into account the representative findings presented in this article to increase diagnostic accuracy. ©RSNA, 2017.

Ovarian ectopic pregnancy- a report of 2 cases and review of literature

Ovarian ectopic pregnancy- a report of 2 cases and review of literature

Primary Ovarian Ectopic Pregnancy

Primary Ovarian Ectopic Pregnancy

Primary Ovarian Ectopic Pregnancy: A Case Report

Introduction: Ectopic pregnancy is a serious health problem that leads to maternal mortality and morbidity. The current article was based on the record of a female patient with primary ovarian ectopic pregnancy. Case Presentation: The patient was a 28-year-old female with regular previous menstrual cycle and without using any contraception method. She presented with right lower abdominal pain and amenorrhea. Transvaginal sonography findings revealed a gestational sac in the right ovary. Finally, primary ovarian ectopic pregnancy was diagnosed by laparotomy and confirmed by histopathology. Conclusions: To prevent misdiagnosis, an awareness of this issue should be developed by gynecologists, surgeons, and radiologists. Keywords: Ovary, 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 after Endometriomal Cyst Resection, Following In vitro Fertilization (IVF): A Rare Case Report

Background: primary ectopic pregnancy (EP), with 0.001-0.013% incidence rate, is a very scarce obstetrical condition. Among EPs Ovarian EP is more rarely seen?.

Is the type of gonadotropin-releasing hormone suppression protocol for ovarian hyperstimulation associated with ectopic pregnancy in fresh autologous cycles for in vitro fertilization?

To evaluate the association between different ovarian hyperstimulation protocols and ectopic pregnancy (EP) in invitro fertilization (IVF) cycles in fresh autologous embryo transfer cycles in the United States between 2008 and 2011 as reported to the Society of Assisted Reproductive Technology (SART). Historical cohort study. Not applicable. None. None. All autologous cycles that resulted in a clinical pregnancy after a fresh, intrauterine embryo transfer and described characteristics of cycles according to protocol were included: luteal GnRH agonist, GnRH agonist flare, or GnRH antagonist. Multivariate logistic regression was conducted to investigate the association between type of protocol and EP. Among 136,605 clinical pregnancies, 2,645 (1.94%) were EP. Ectopic pregnancy was more frequent with GnRH antagonist (2.4%) cycles than with GnRH agonist flare (2.1%) or luteal GnRH agonist (1.6%) cycles. After adjusting for maternal and treatment characteristics, the GnRH antagonist and the GnRH agonist flare protocols were associated with increased odds of EP (adjusted odds ratio [aOR] 1.52; 95% confidence interval [CI], 1.39-1.65; and aOR 1.25; 95% CI, 1.09-1.44, respectively) compared with luteal GnRH agonist. Analysis of differences in the factors related to EP in luteal GnRH agonist versus GnRH antagonist protocols indicated that diminished ovarian reserve was associated with an increased risk of EP in luteal GnRH agonist but not in GnRH antagonist cycles. The type of protocol used during ovarian hyperstimulation in fresh autologous cycles was associated with EP. This finding suggests a role for extrapituitary GnRH on the tubal and uterine environment during ovarian hyperstimulation treatment for IVF.

Non-tubal ectopic pregnancy.

11 per 1000 pregnancies are ectopic (NICE Guidelines, 2012) with 95 % of ectopic pregnancies being tubal in origin, and 80 % of these occurring within the ampulla (The Ectopic Pregnancy Trust). 5% therefore are non-tubal. In this review we aim to collate literature relevant to non-tubal ectopic pregnancy. Literature regarding cornual, ovarian, abdominal, interstitial, cervical and Caesarean scar ectopic pregnancy was reviewed using EMBASE and Medline databases. Non-tubal ectopic pregnancies are often overlooked, diagnosed late and are associated with higher maternal morbidity and mortality. Ultrasound remains the mainstay of diagnosis in corroboration with clinical features. Management may include medical treatment with methotrexate, surgery or expectancy. There is also an increasing interest in the use of minimally invasive radiological approaches. Non-tubal ectopic pregnancy is a rare but potentially life-threatening and often misdiagnosed condition. This is particularly pertinent for Caesarean scar ectopic pregnancies, the prevalence of which is increasing due to the rising proportion of women having Caesarean sections (Litwicka and Greco, 2011). Practitioners should be aware of non-tubal pregnancies to aid more efficient diagnosis, optimise management and increase patient safety.

A Case of Ruptured Ovarian Ectopic After Embryo Transfer With Low Serum hCG and Fertility Conserving Laparoscopy

Ovarian pregnancy is a rare form of ectopic pregnancy that remains a diagnostic enigma. We report a 39-year-old nulliparous female undergoing in vitro fertilization (IVF) and presenting with severe abdominal pain to a hospital after embryo transfer. Serum beta-hCG after embryo transfer was low at 5.4 IU/L. Repeated serum beta-hCG in the hospital was elevated at 1,528 IU/L. Transabdominal ultrasound revealed a 9.8 cm complex mass in the midline in the pouch of Douglas. No intrauterine gestational sac was seen. She underwent emergency diagnostic laparoscopy revealing a small 2 × 2 cm ruptured right ovarian ectopic pregnancy with active hemorrhage seen. A wedge resection of the right ovarian ectopic was performed and hemoperitoneum was drained. Ovarian tissue sent for histopathology confirmed the diagnosis of a ruptured ovarian ectopic. Post-operative hCG level was negative after follow-up. Consequently, the patient was treated successfully with fertility-conserving laparoscopy. J Med Cases. 2016;7(4):150-152 doi: http://dx.doi.org/10.14740/jmc2464w

Ovarian ectopic pregnancy: A case report

Although ovarian ectopic pregnancy is rare, nevertheless, it is an important source of morbidity for women of childbearing age. Its incidence is on rise following the use of ovulation-inducing agents as well as after the increased usage of assisted reproductive technology. We report a case of a natural non-assisted right ovarian ectopic pregnancy detected primarily on transvaginal ultrasound in a lady who came with pain in the right lower abdomen and was subsequently confirmed at surgery and proven on histopathology. Judicious use of ultrasound in an appropriate clinical setting can thus prevent mishaps and enable better management of such conditions.

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.