Successful diagnosis and laparoscopic management of haemorrhagic ovarian pregnancy with haemorrhagic contralateral corpus luteum

Tambimuttu, E. G.; Lott, Alexander; Moore, David E.

doi:10.1111/ajo.12307

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The site of the corpus luteum was mentioned in 22 reports only. However, 5 (22%) ovarian pregnancies occurred in the controlateral ovary (25,27,(29)(30)(31), 3 of them being heterotopic. (25,27,29) Medical treatment was given to 8 women (7.2%) without specific criteria of HCG concentrations, pelvic masses or fetal cardiac activity, using hyperosmolar glucose or methotrexate.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Almahloul¹,

Amro²,

Nagshabandi³

et al. 2022

Preprint

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Objective Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not clearly established. Data sources. All case reports published in Pubmed from Nov 2011 till Nov 2022. Study eligibility criteria. A systematic review and 2 case reports of ovarian pregnancy Study appraisal and synthesis methods. Not applicable Results Ovarian pregnancies occur in 8% of women without or blocked oviducts and in 23% on the other side than the corpus luteum and the symptoms of ovarian pregnancies are not specific. Therefore ovarian pregnancy has to be suspected in all women with abdominal bleeding. As for extrauterine pregnancies, the presence of an intrauterine pregnancy does not rule out an ovarian pregnancy. Surgical excision is the preferred treatment. Important is that in women with both an intra-uterine and an ovarian pregnancy, care should be taken not to damage the corpus luteum. Conclusions Ovarian pregnancies can occur in women with blocked tubes, on the other side of the corpus luteum, in the presence of an intrauterine pregnancy, and even when pregnancy tests or tranvaginal ultrasonography are negative. The diagnosis being difficult to exclude, a laparoscopy is indicated in all women with intra-abdominal bleeding, keeping in mind that an intra-uterine pregnancy cannot be exluded and that a corpus luteum need to be respected.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Almahloul¹,

Amro²,

Nagshabandi³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Ovarian Pregnancy: 2 Case Reports and a Systematic Review

Almahloul

Amro

Nagshabandi

et al. 2023

JCM

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Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not established. Therefore, all case reports on ovarian pregnancy published in PubMed from November 2011 till November 2022 were reviewed and two case reports were added. In these 84 case reports, 8% of ovarian pregnancies occurred in women without or with blocked oviducts and 23% were localised on the other side than the corpus luteum. Since symptoms are not specific, ovarian pregnancy has to be suspected in all women with abdominal bleeding. Surgical excision is the preferred treatment. However, since an associated intra-uterine pregnancy cannot be excluded, care should be taken not to interrupt this intra-uterine pregnancy with the uterine cannula or by damaging the corpus luteum. In conclusion, in women with abdominal bleeding, an ovarian pregnancy cannot be excluded, even in women with a negative pregnancy test or an empty uterus on transvaginal ultrasonography. Therefore, a laparoscopy is indicated but the surgeon should realise that an associated intra-uterine pregnancy also cannot be excluded and that therefore care should be taken not to interrupt this intra-uterine pregnancy by the uterine cannula or by damaging the corpus luteum.

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Successful diagnosis and laparoscopic management of haemorrhagic ovarian pregnancy with haemorrhagic contralateral corpus luteum

Cited by 2 publications

References 6 publications

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Ovarian Pregnancy: 2 Case Reports and a Systematic Review

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