Ovarian ectopic pregnancy

Sturm, James T.; Hankins, Daniel; Malo, John W.; Cicero, James J.

doi:10.1016/s0196-0644(84)80121-3

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…3 It happens when an ovum that has been kept in the peritoneal cavity is fertilised, resulting to implantation on the ovarian surface. 4 Women with ovarian ectopic pregnancies usually present with lower abdominal pain, menstrual irregularities as in other ectopic conditions and corpus luteum cyst. Preoperative and occasionally intraoperative diagnosis can be challenging, despite the importance of early identification and treatment.…”

Section: Discussionmentioning

confidence: 99%

Medical management of ovarian ectopic pregnancy- a case report

Ramesh¹,

Sreenivas²,

Madhu³

2023

Int J Reprod Contracept Obstet Gynecol

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Primary ovarian ectopic pregnancy is a rare type of ectopic pregnancy which has an estimated prevalence ranging from 1:7000 to 1:70,000 accounting for almost 3 % of all ectopic cases. A 37-year-old woman was referred to our hospital intermittent vaginal spotting, recurrent abdominal pain that was getting worse, and 3 days of vaginal bleeding with clot passage. Her general condition was good and her vital signs were normal. She felt tenderness in an abdominal examination and had a small amount of vaginal bleeding. Transvaginal ultrasonography showed an ectopic gestational sac, in her right ovary. Our final diagnosis was ectopic ovarian pregnancy and we successfully treated her with methotrexate. After 3 doses of methotrexate administration her beta human chorionic gonadotropin was negative and a sonographic examination was completely normal. Approximately 3% of all ectopic pregnancies are located in the ovaries. Preoperative diagnosis of this extremely rare condition is challenging, because the ectopic pregnancy often resembles cysts of the corpus luteum.

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Section: Discussionmentioning

confidence: 99%

Medical management of ovarian ectopic pregnancy- a case report

Ramesh¹,

Sreenivas²,

Madhu³

2023

Int J Reprod Contracept Obstet Gynecol

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“…Ovarian ectopic pregnancy is a rare variant of ectopic pregnancy [ 4 ]. It occurs by fertilization of an ovum retained in the peritoneal cavity leading to implantation on the ovarian surface [ 5 ]. Women with ovarian ectopic pregnancies usually present with lower abdominal pain, menstrual irregularities as in other ectopic conditions and corpus luteum cyst.…”

Section: Discussionmentioning

confidence: 99%

Medical management of an ovarian ectopic pregnancy: a case report

et al. 2015

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BackgroundPrimary ovarian ectopic pregnancy is a rare type of ectopic pregnancy which has an estimated prevalence ranging from 1:7000 to 1:70,000 accounting for almost 3 % of all ectopic cases. Here we report the case of a 25-year-old woman who presented to our clinic with abdominal pain, 6 weeks’ delay of menstruation and 3 days of vaginal bleeding, whose transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. This case shows that early diagnosis is very important particularly in places like the Sub-Saharan region of Africa.Case presentationA 25-year-old African woman was referred to our clinic with 6 weeks’ delay of menstruation, frequent increasing abdominal pain and 3 days of vaginal bleeding. Her general condition was good and her vital signs were normal. She felt tenderness in an abdominal examination and had a small amount of vaginal bleeding. Transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. Our final diagnosis was ectopic ovarian pregnancy and we successfully treated her with methotrexate. After 3 weeks of methotrexate administration her beta human chorionic gonadotropin was negative and a sonographic examination was completely normal.ConclusionsEctopic ovarian pregnancy is a very important medical situation. It should be diagnosed in its early stages otherwise it could be life-threatening and surgical treatment may be inevitable. Because of the importance of fertility, medical treatment is an acceptable option and can be feasible with early diagnosis.

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“…1) Pathogenetisch ist die Ovarialschwangerschaft das Resultat einer Retention der Eizelle im Operculum und deren Einschluss innerhalb des rupturierten Follikels. Diese eingeschlossene Eizelle wird von einem aszendierenden Spermium penetriert, befruchtet und reift innerhalb des Ovars heran [13].…”

Section: Zusammenfassungunclassified

Operative Therapie der ovariellen Gravidität - Fallbericht und Übersicht

Jäger¹,

Sauer²

2006

Zentralbl Gynakol

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Ovarian pregnancies represent a small fraction of ectopic gestations. They are especially feared due to their life-threatening intraabdominal hemorrhage. Pre- and intraoperative diagnosis is difficult. Pathogenetically ovarian pregnancy arises from the retention of a fertilized ovum in the ovary. General guidelines for the medical management are missing. In this case report, we diagnosed a subacute ruptured ovarian pregnancy during surgery and performed a partial ovarectomy via operative laparoscopy. Other therapeutic options in managing ovarian ectopic pregnancy will be discussed.

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Ovarian ectopic pregnancy

Cited by 5 publications

References 4 publications

Medical management of ovarian ectopic pregnancy- a case report

Medical management of ovarian ectopic pregnancy- a case report

Medical management of an ovarian ectopic pregnancy: a case report

Operative Therapie der ovariellen Gravidität - Fallbericht und Übersicht

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