Embarazo ectópico ovárico

Ovarian ectópico pregnancy case report

“…Within the sites of ectopic implantation, the tubal region is the most frequent site (95%), followed by abdominal (1.3%), ovarian (0.5-3%) and cervical (0.1%) implantation. [1][2][3][4][5] Ovarian gestation is a rare form of ectopic implantation with a high mortality rate, reaching up to 10% and whose diagnosis is becoming more frequent given the technological advance in imaging tests. This type of ectopic pregnancy is more frequent in young and multiparous patients, especially in those with risk factors, among which the use of IUD as a method of family planning, use of assisted reproduction techniques, antecedents of endometriosis, pelvic inflammatory diseases stand out.…”

“…(EPI) or previous pelvic surgeries. [1][2][3] A study conducted at the University Hospital of La Paz, Spain in 2012 by Cristina Gonzalez et al it mentions the presence of only 6 cases throughout 2001-2011, of which 85% were diagnosed during the first trimester and where it is difficult to diagnose given the little experience in the subject of that time; 1 also mentions that the majority of cases were carried out during the surgical procedure. [1][2][3] On the other hand, Huang et al They carried out a study in Changsha, China in 2011 in which they mention that they only had one case of ectopic pregnancy with ovarian location.…”

“…[1][2][3] A study conducted at the University Hospital of La Paz, Spain in 2012 by Cristina Gonzalez et al it mentions the presence of only 6 cases throughout 2001-2011, of which 85% were diagnosed during the first trimester and where it is difficult to diagnose given the little experience in the subject of that time; 1 also mentions that the majority of cases were carried out during the surgical procedure. [1][2][3] On the other hand, Huang et al They carried out a study in Changsha, China in 2011 in which they mention that they only had one case of ectopic pregnancy with ovarian location. 6 Another similar study also conducted in Madrid, Spain in 2013 and carried out by Pato et al 5 mentions that the diagnosis of ectopic ovarian pregnancy was made in up to 75% of the cases during the first trimester but does not refer to the total number of cases or how the diagnostic check of its location was made.…”

“…5 The clinical picture of an ovarian pregnancy is very broad and variable, ranging from an asymptomatic pregnancy of uncertain location, to abdominal pain, amenorrhea with or without metrorrhagia or hemoperitoneum with or without associated hemodynamic instability. [1][2][3][4][5][6][7] Surgery is currently considered a gold standard in terms of treatment, however, other therapeutic alternatives have been proposed, such as local use or systemic from methotrexate. [1][2][3][4][5][6][7] further from this, in case from instability or Necrosis requires the completion of oophorectomy, which occurs in approximately 21% of cases.…”

“…[1][2][3][4][5][6][7] Surgery is currently considered a gold standard in terms of treatment, however, other therapeutic alternatives have been proposed, such as local use or systemic from methotrexate. [1][2][3][4][5][6][7] further from this, in case from instability or Necrosis requires the completion of oophorectomy, which occurs in approximately 21% of cases. For diagnostic confirmation of ovarian gestation, it is necessary to carry out histopathological study which should show trophoblastic and placental tissue in the ovarian tissue; as well as normal uterine salpinges.…”