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Detection of unsuspected ovarian pregnancy by wedge resection

Helde, M. D.; Campbell, J. S.; Himaya, A.; Nuyens, J. J.; Cowley, F. C.; Hurteau, G. D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 05/02/1972 EN
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46.31%
Five follicular ovarian implantations occurred among 200 ectopic pregnancies encountered during a 14-year period. Abortions from impregnated follicles may cause hemoperitoneum more often than is generally suspected. Wedge resection or cystectomy to ensure hemostasis provides tissue for histological examination, without which ruptured ovarian pregnancy may masquerade as rupture of a corpus luteum with hemorrhage (“ovarian apoplexy”). Including patients reported here, IUCD users have within the past five years accounted for about 10% of all ovarian pregnancies recorded in English.

Case report of a primary ovarian pregnancy in a primigravida

Panda, Subrat; Darlong, Laleng M; Singh, Santa; Borah, Tulon
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
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46.34%
Primary ovarian pregnancy occurs quite rarely and that too usually in young highly fertile multiparous women using intra uterine device. We present a case where a young primigravida presented with abdominal pain and was diagnosed as ectopic pregnancy and was confirmed intra-operatively and histopathologically as primary ovarian pregnancy, managed with partial ovariectomy.

Primary Ovarian Pregnancy After Donor Embryo Transfer: Early Diagnosis and Laparoscopic Treatment

Gavrilova-Jordan, Larisa; Tatpati, Laura; Famuyide, Abimbola
Fonte: Society of Laparoendoscopic Surgeons Publicador: Society of Laparoendoscopic Surgeons
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
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46.48%
Primary ovarian pregnancy is a rare type of ectopic pregnancy, particularly following in vitro fertilization. Although there have been a few reported cases of primary ovarian pregnancy following in vitro fertilization embryo transfer, we believe this is the first report involving donor embryo transfer. A high index of clinical suspicion, abnormal human chorionic gonadotropin levels, and early ultrasound evaluation may aid timely diagnosis and appropriate management. This report provides a reminder to practitioners to advise patients undergoing embryo transfer of the primary ovarian pregnancy risk. Information is provided herein regarding the diagnosis and management of primary ovarian pregnancy in women treated with in vitro fertilization. We review the criteria for early diagnosis and treatment options.

Ovarian Pregnancy following Intracytoplasmic Sperm Injection and Embryo Transfer: A Case Report

Ramachandran, Amar; Sharma, Swati; Pratap, Kumar; Rajesh, Bhakta; Akhila, Vasudeva; Ramayapally, Akhila; Valiathan, Manna
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
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46.39%
Ovarian pregnancy is a rare form of ectopic pregnancy following ICSI-ET, and the diagnosis depends on the physicians suspicion and experience. Preservation of ovarian tissue during surgery is of utmost importance to preserve fertility. We present a case of ovarian pregnancy who had a successful treatment preserving the ovary.

A rare case of unruptured viable secondary ovarian pregnancy after IVF/ICSI treated by conservative laparoscopic surgery

Dhorepatil, Bharti; Rapol, Aarti
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
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46.34%
Although the incidence of ectopic pregnancy is on the rise, ovarian pregnancy after in vitro fertilization and embryo transfer is a rare entity. Here, we report a case of unruptured ovarian pregnancy following in-vitro fertilization/intracytoplasmic sperm injection, which was treated by conservative laparoscopic surgery.

Bilateral Ovarian Pregnancy After in Vitro Fertilization and Embryo Transfer in a Patient with Tubal Factor Infertility

Han, Myoungseok; Kim, Jihyun; Kim, Hyunho; Je, Goohwa; Hwang, Taiyoung
Fonte: Kluwer Academic Publishers-Plenum Publishers Publicador: Kluwer Academic Publishers-Plenum Publishers
Tipo: Artigo de Revista Científica
Publicado em /05/2004 EN
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46.55%
Primary ovarian pregnancy is very rare event after natural pregnancy or assisted reproductive technology (ART) procedures. Although there are a few reports about unilateral ovarian pregnancy after in vitro fertilization and embryo transfer (IVF-ET), there has been no report about bilateral ovarian pregnancy. Moreover, it is difficult to diagnose an ovarian pregnancy following in vitro fertilization and embryo transfer because of enlarged ovary, fluid collection in pelvic cavity, and its low incidence. We present a case of a patient who underwent IVF-ET due to tubal factor infertility, but the patient developed bilateral ovarian pregnancy and was performed both ovarian wedge resection through laparotomy.

A Primary Ovarian Pregnancy with a Contralateral Ruptured Corpus Luteum: A Case Report

Ziyauddin, Farah; Khan, Tamkin; Rafat, Dalia; Aziz, Meher; Haider, Nazima
Fonte: JCDR Research and Publications (P) Limited Publicador: JCDR Research and Publications (P) Limited
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.39%
A primary ovarian pregnancy is one of the rarest varieties of ectopic pregnancies. The conditions which are most commonly confused with an ovarian pregnancy are, a ruptured corpus luteal cyst, a haemorrhagic corpus luteum and a ruptured endometriotic cyst. This case presents the clinical and the histological findings of a ruptured ovarian pregnancy, along with a ruptured corpus luteal cyst in the contralateral ovary.

Ovarian pregnancy: Two case reports.

Roy, Jayeeta; Sinha Babu, Anindita
Fonte: Australasian Medical Journal Publicador: Australasian Medical Journal
Tipo: Artigo de Revista Científica
Publicado em 31/08/2013 EN
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46.49%
Ovarian pregnancy is a rare event occurring in 1-3% of all ectopic pregnancies. Increased reporting might be due to the wider use of intra-uterine devices, ovulatory drugs and assisted reproductive techniques. Though ovarian pregnancy has a distinct pathology, it can be a source of clinical and intraoperative diagnostic difficulty. We report two cases of ovarian pregnancy – one primary and one secondary – that came to our notice within six months span. Unlike tubal ectopic and secondary ovarian pregnancies, patients with primary ovarian pregnancy are likely to experience success in future intra-uterine conception and negligible risk.

A 34-week ovarian pregnancy: case report and review of the literature

Meşeci, Elif; Güzel, Yılmaz; Zemheri, Ebru; Eser, Semra Kayataş; Özkanlı, Şeyma; Kumru, Pınar
Fonte: AVES Publicador: AVES
Tipo: Artigo de Revista Científica
Publicado em 10/07/2013 EN
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46.34%
Advanced ovarian pregnancy is a quite rare condition. Due to the high maternal and neonatal mortality rates, early and accurate diagnosis is vital. Lack of sufficient data led us to search the literature and compile available data on the topic. A 33-year-old woman presented with acute abdomen at 34 weeks of gestation. She underwent laparotomy, which revealed a live foetus surrounded by an intact amnion membrane located in the left adnexal area. The patient delivered a live female infant. Heavy bleeding from the placenta necessitated salpingo oophorectomy. Histological examination of the removed tissue confirmed the ovarian pregnancy. Because of the substantial risk of adverse outcomes, this condition should be borne in mind, especially in cases presenting with acute abdomen during pregnancy.

Simultaneous Serous Cyst Adenoma and Ovarian Pregnancy in An Infertile Woman

Ebrahimi, Mahbod; Akbari Asbagh, Firoozeh
Fonte: Royan Institute Publicador: Royan Institute
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.57%
Ovarian pregnancy is a rare form of extra uterine pregnancy. Serous cyst adenoma is a benign variant of epithelial cell tumors of ovary. The coexistence of a cyst adenoma with an ovarian pregnancy in the same ovary is extremely rare. Some studies suggested that infertility or ovulation-inducing drugs can be involved in increased risk of ovarian tumors and ovarian pregnancies. A 28-year-old infertile woman presented with a ruptured ovarian pregnancy following ovulation induction with metformin. She had a concurrent benign serous cyst adenoma in the same ovary. Resection of both ovarian pregnancy and tumoral mass were performed. The ovary was preserved. Removal of gestational tissue and preservation of the involved ovary are the best options for management of ovarian pregnancy in young patient. Although there is an association between infertility/ovulation inducting medications and ovarian gestation, their connections with serous cyst adenoma are undetermined.

Ovarian pregnancy: a case report in a resource-poor setting

Fouelifack, Florent Ymele; Fouogue, Jovanny Tsuala; Fouedjio, Jeanne Hortence; Sando, Zacharie
Fonte: The African Field Epidemiology Network Publicador: The African Field Epidemiology Network
Tipo: Artigo de Revista Científica
Publicado em 18/12/2013 EN
Relevância na Pesquisa
46.43%
Ovarian pregnancy is very rare and to our knowledge, no case has been reported in Cameroon. We herein report a case at the Yaounde Central Hospital. It is the case of a 29 years old woman who consulted in emergency for left pelvic pain at 9 weeks of pregnancy. The level of beta human chorionic gonadotropin was 96702 milli-international Units/ milliliter and ultrasound revealed an intra-ovarian gestational sac, an empty uterus and no peritoneal effusion. In the absence of facilities for laparoscopy, an emergency laparotomy was done. We found the non ruptured mass inside the left ovary. The left fallopian tube, the uterus and the right adnexae were normal. We did a successful ovarian dissection and resection of gestational sac. Trophoblastic tissue was found at pathology. Similar symptoms should draw attention of practitioners on the plausibility of ovarian pregnancy.

Ovarian Pregnancy: Uncommon Mode of Presentation

Jena, Saubhagya Kumar; Kar, Gayatri; Samal, Soumya; Behera, Basanta Kumar
Fonte: JCDR Research and Publications (P) Limited Publicador: JCDR Research and Publications (P) Limited
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.34%
Ovarian pregnancy is very rare, and its incidence is 1 in 3000 live births. In this condition, common risk factors for ectopic pregnancy not usually found. It usually occurs in fertile women and more commonly with in-situ intrauterine device (IUD). Preoperative diagnosis is always not possible although the patient commonly presents with abdomen-pelvic pain, per vaginal bleeding and hypovolemic shock. High degree of suspicion with estimation of serum beta HCG, transvaginal ultrasonography by an experienced sonologist and laparoscopy is required for confirming the diagnosis. Though, the usual treatment is surgery, it can be managed by medical methods only in hemodynamically stable patients. In this case report, we describe the unusual mode of clinical presentation in an elderly woman with ovarian pregnancy.

An Ovarian Pregnancy in a Patient with a History of Bilateral Salpingectomies: A Rare Case

Khandaker, Sadia; Chitkara, Pranav; Cochran, Eric; Cutler, Jed
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.39%
Background. 1 in 200 ectopic pregnancies are true ovarian pregnancies that fulfill the Spiegelberg criteria. Despite being rare, multiple case reports and series have been reported. Few cases have been published in which the event was preceded by salpingectomy. Case. The patient is a 32-year-old female who presented to the emergency room with abdominal pain. She was found to be pregnant, despite a history of two previous ectopic pregnancies treated with salpingectomies. Sonography confirmed a left adnexal mass and free fluid. Surgery revealed a ruptured ovarian pregnancy which was also confirmed by pathology. Conclusion. This is a case of an ovarian pregnancy in a patient with two previous salpingectomies. It underscores the importance of searching for an ectopic pregnancy in patients with abdominal pain after fertility impairing surgery.

Diagnostic Dilemma in Ovarian Pregnancy: A Case Series

Begum, Jasmina; Pallavee, P.; Samal, Sunita
Fonte: JCDR Research and Publications (P) Limited Publicador: JCDR Research and Publications (P) Limited
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.56%
Ovarian pregnancy is a rare form of ectopic pregnancy but it is the most common type of nontubal ectopic pregnancy. Many times it is operated with a misdiagnosis of ruptured tubal ectopic pregnancy or hemorrhagic corpus luteum. The high resolution transvaginal ultrasonography is a valuable tool for diagnosis of ectopic pregnancy but ovarian pregnancy still remains a diagnostic problem and a continuous challenge to the gynecologist. The correct diagnosis is made at the time of surgery and confirmation is by histopathological report. Here we report three cases of primary ovarian ectopic pregnancies, consistent with the Spiegelberg’s criteria. Out of this, two cases have corroboration of ovarian ectopic pregnancy with use of intrauterine contraceptive device and one case by chance without any preexisting risk factors, probably due to interference in the release of ovum from the follicle. In all the three cases, emergency laparotomy was done for ruptured tubal ectopic pregnancy and the diagnosis of ruptured primary ovarian pregnancy was made at the time of surgery, this was subsequently confirmed by histopathology report.

Rupture of Ovarian Pregnancy in a Woman with Low Beta-hCG Levels

Resta, Serena; Fuggetta, Eliana; D'Itri, Federica; Evangelista, Simona; Ticino, Adele; Porpora, Maria Grazia
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.46%
Background. Ovarian pregnancy is a rare form of ectopic pregnancy. It is often difficult to distinguish from tubal pregnancy, and diagnosis and management are frequently a challenge. Case. A 33-year-old nulligravida woman presented with light vaginal bleeding and bilateral lower quadrants abdominal pain. Beta-human chorionic gonadotropin (beta-hCG) level (592 mUI/mL) and clinical and ultrasound (US) findings were suspicious for tubal pregnancy. On the third day, despite beta-hCG decrease (364 mUI/mL), she complained of severe pain in the lower abdomen, and physical examination revealed abdominal rebound tenderness. US showed a large amount of fluid in the abdominal cavity. Because of the unstable clinical condition, emergency laparoscopy and resection of left ovarian ectopic pregnancy were performed. Histology confirmed ovarian gestation. Conclusion. This case shows that ectopic pregnancy rupture may occur despite low levels of beta-hCG. Hemoperitoneum is not contraindication to laparoscopy.

Failed Medical Management in Ovarian Pregnancy Despite Favorable Prognostic Factors – A Case Report

Bagga, Rashmi; Suri, Vanita; Verma, Preeti; Chopra, Seema; Kalra, Jasvinder
Fonte: Medscape Publicador: Medscape
Tipo: Artigo de Revista Científica
Publicado em 09/05/2006 EN
Relevância na Pesquisa
46.5%
Primary ovarian pregnancy is a rare form of ectopic pregnancy that must be demonstrated with use of 4 Spiegelberg criteria. It is usually diagnosed at laparotomy or laparoscopy, although it may resemble a hemorrhagic corpus luteum. Successful conservative management of ovarian pregnancy with methotrexate has been reported only occasionally. This may be partly because of the rarity of this condition and partly because when medical treatment is successful, the patient does not need to undergo laparotomy or laparoscopy, and an occasional ovarian pregnancy may have been diagnosed as a tubal pregnancy. We present a case of ovarian pregnancy (diagnosed at laparotomy) for which initial medical management with methotrexate failed despite favorable prognostic factors. Whether the unusual location (ovary) could have contributed toward treatment failure is unknown.

Accurate Preoperative Diagnosis of Ovarian Pregnancy with Transvaginal Scan

Gupta, Natasha; Gupta, Anu; Onyema, Godwin; Pantofel, Yelena; Ying, Shan-Ching; Garon, Jack E.; Lampley, Charles; Blankstein, Josef
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.56%
Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging. Dr. Saint Monnissey described the first reported case of ovarian pregnancy in 17th century. Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies. Management with laparoscopy or laparotomy is required in all cases, and in almost all cases, ovary can be preserved since implantation is usually superficial (Koo et al.; 2011). A single case of an ovarian pregnancy, consistent with Spiegelberg's criteria is presented here. This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy. As we step into an era where in vitro fertilization rate is on its hike, one should be aware that incidence of ovarian pregnancy is also increasing, necessitating a high index of suspicion.

The preoperative diagnosis of primary ovarian pregnancy.

Nwanodi, Oroma; Khulpateea, Neekiaund
Fonte: National Medical Association Publicador: National Medical Association
Tipo: Artigo de Revista Científica
Publicado em /05/2006 EN
Relevância na Pesquisa
46.31%
BACKGROUND: Ovarian pregnancies comprise 0.15% of all pregnancies and 0.15-3% of ectopic gestations, with an incidence of up to 1/7,000 deliveries. CASE: A single case of an ovarian gestation consistent with Spieglberg's four criteria in a primigravida without prior gynecological, medical, or surgical history is presented. Presumptive diagnosis was by thorough clinical examination with a single, palpable, adnexal mass in a patient with BMI of 19, supported with serial ultrasound and quantitative betaHCG-enabled preoperative diagnosis. CONCLUSION: Primary ovarian pregnancy may occur without any classical antecedent risk factors. Ultrasonography can be a useful adjunct to clinical presentation and physical examination in allowing the preoperative diagnosis of ovarian gestation.

A Case of Ovarian Pregnancy Diagnosed by MRI

Io, Shingo; Hasegawa, Masaaki; Koyama, Takashi
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.45%
Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

Ovarian Ectopic Pregnancy in Adolescence

Gonçalves Andrade, A; Rocha, S; Marques, C; Simões, M; Martins, I; Biscaia, I; Barros, C
Fonte: John Wiley & Sons Ltd. Publicador: John Wiley & Sons Ltd.
Tipo: Artigo de Revista Científica
Publicado em /11/2015 ENG
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56.48%
Ovarian pregnancy is one of the rarest types of extrauterine pregnancy. Its preoperative diagnosis remains a challenge since it presents quite similarly to tubal pregnancy and complicated ovarian cysts. Although in most cases, histology is necessary to confirm the diagnosis, we present an ovarian pregnancy in a teenager, correctly diagnosed during ultrasound examination.