Ovarian pregnancy and endometriosis

Durburg, John R.; Grimes, Hugh Gavin

doi:10.1016/0002-9378(58)90387-9

Cited by 13 publications

(4 citation statements)

References 6 publications

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“…All patients manifested hemoperitoneum with abdominal pain, except those in Punnonen and Laurén’s report; they examined 41 women with ovarian pregnancy, but individual patient information was not provided [ 8 ]. The surgical approach involved a less invasive transition: laparotomic resection of internal genitals [ 9 ], laparotomic adnexectomy [ 8 , 10 ], and laparoscopic ovarian sparing surgery. Coexistence with ovarian endometrioma has been reported to be an incidental finding of ovarian pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of Ovarian Endometrioma and Ovarian Pregnancy: A Case Report

Aoyagi¹,

Kai²,

Aso³

et al. 2023

Cureus

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Both ovarian pregnancy and endometrioma can rupture and cause life-threatening hemoperitoneum. However, little is known about their coexistence. We report the case of a 34-year-old Japanese woman with a life-threatening hemoperitoneum in the first trimester coexisting with ovarian endometrioma and ovarian pregnancy. The patient was hospitalized in our department for acute hypogastric pain and massive hemoperitoneum during pregnancy. She had a history of miscarriage at eight weeks of gestation one year prior. Her serum beta-human chorionic gonadotropin (hCG) level was >2,000 mIU/mL. Also, a transvaginal ultrasound showed an empty uterus, an intact right ovary, an inhomogeneous left ovary, and a massive hemoperitoneum. An exploratory laparoscopy revealed a rupture of the left ovarian endometrioma, a left corpus luteal cyst, and intraperitoneal bleeding of approximately 1,200 mL. However, no ectopic lesions were observed. Microscopic examination revealed an endometriotic cyst with decidual changes in the stroma, a corpus luteal cyst, and chorionic villi with hemorrhage. Serum beta-hCG levels became negative on the 27th postoperative day. The postoperative course was uneventful. This case shows that, in addition to the differential diagnosis of ovarian pregnancy from ovarian endometrioma, clinicians should consider the coexistence of both conditions.

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Section: Discussionmentioning

confidence: 99%

Coexistence of Ovarian Endometrioma and Ovarian Pregnancy: A Case Report

Aoyagi¹,

Kai²,

Aso³

et al. 2023

Cureus

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“…Endometriosis and embryonic Mullerian ti ssues have been quoted as fertile soil for reinplantation in secondary ovarian pregnancy, but are very rare (6,II,18). Peri-oophoritis or pelvic infections (10, 14 , 17) may be factors in retaining the fertili sed ovum within the ovary or the corpu luteum.…”

Section: Discussionmentioning

confidence: 99%

“…The ovary is the rares t location of ectopic pregnancy, which . occurs once in every 25 000-40000 deliverie s (I, 6,9). The incidence of ectopic pregnancy is 0.…”

Section: Introductionmentioning

confidence: 99%

Primary Ovarian Pregnancy: Report of Two Cases: Management with Ovarian Preservation

Gogol

Grünstein

et al. 1975

Intl J Gynecology & Obste

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“…That the ovum can migrate across the peritoneal cavity is seen in those tuba1 pregnancies where the ovum is implanted in the tube on the opposite side to the corpus luteum. Endometriosis involving the pelvic organs has been cited as a contributory factor, the focus of endometriosis providing the correct "milieu" for implantation (vara, 1936;Elzey, 1948;Durburg and Grimes, 1958). But in Table I most mothers were between 20 and 30 years old with an average of 27, whereas endometriosis reaches its peak incidence in patients between the ages of 30 and 40.…”

Section: Discussionmentioning

confidence: 99%