Ultrasound classification and clinical analysis of ovarian pregnancy: A study of 12 cases

Ge, Ling; Sun, Wenping; Wang, Lihua; Cheng, Lei; Geng, Chenchen; Song, Qingxu; Zhan, Xinfeng

doi:10.1016/j.jogoh.2019.04.003

Cited by 16 publications

(12 citation statements)

References 15 publications

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“…Transvaginal ultrasound may have a place in the diagnostic quiver of undisturbed ovarian pregnancy [16]. However, the ultrasound findings are not typical in the case of ruptured ovarian pregnancy and massive bleeding [17]. In some cases, a Computed Tomography scan can help distinguish between a ruptured luteal cyst and ruptured ectopic pregnancy with bleeding [18].…”

Section: Discussionmentioning

confidence: 99%

Rupture of Ectopic Ovarian Pregnancy Accompanied by Massive Intra-abdominal Bleeding and Disorder of the Coagulation Mechanism: A Rare and Life-Threatening Obstetric Complication

Thanasa¹,

Thanasa²,

Gerokostas³

et al. 2022

Cureus

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The rupture of ectopic ovarian pregnancy accompanied by massive intra-abdominal bleeding is a rare obstetric complication, occurs predominantly in the first trimester of pregnancy, and can be dangerous and life-threatening for the pregnant woman. Our case describes a 37yr old woman with a history of 4 lower segment Cesarian sections (LSCS) (Caesarean sections) and multiple surgical abortions, presenting at the ER with acute abdomen symptoms. The patient's hemodynamic status was unstable. The positive urine pregnancy test combined with the clinical and ultrasound findings established the diagnosis of the ruptured ectopic pregnancy, and immediate surgical treatment was decided. During surgery, a large amount of blood was found in the peritoneal cavity, resulting from a rupture of the right ovary and accompanied by hemorrhagic infiltration of adjacent tissues, without participation in the damage of the ipsilateral fallopian tube. It was deemed necessary to remove the ipsilateral adnexa and whole blood transfusion. The patient was discharged from our department on the fourth postoperative day. The price of beta-chorionic gonadotropic hormone was on a downward trend. Three weeks later, the level of beta-chorionic gonadotropic hormone was zero. In the present paper, a brief review is attempted regarding the diagnostic and therapeutic approach for patients with ruptured ectopic ovarian pregnancy after describing the case.

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Section: Discussionmentioning

confidence: 99%

Rupture of Ectopic Ovarian Pregnancy Accompanied by Massive Intra-abdominal Bleeding and Disorder of the Coagulation Mechanism: A Rare and Life-Threatening Obstetric Complication

Thanasa¹,

Thanasa²,

Gerokostas³

et al. 2022

Cureus

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show abstract

“…The boundary between the mass of ectopic pregnancy and ovary can be demonstrated by transvaginal ultrasound. Meanwhile, the differential diagnosis between corpus luteum and the mass of ovarian pregnancy can be showed, and the latter is characterized by hyperechoic ring or mass [9]. However, preoperative diagnosis of ovarian pregnancy is still a challenge.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Sun¹,

Li²,

Guo³

et al. 2021

Advanced Ultrasound in Diagnosis and Therapy

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Primary ovarian pregnancy is rare in the classifications of ectopic pregnancy with an incidence of 0.5-3% of all ectopic gestations. The surgical management of ovarian pregnancy is different from the operation of salpingocyesis. Preoperative diagnosis in early pregnancy can help to guide the optimal management. We have reported the case of a 37-year-old woman who presented with a naturally conceived ovarian pregnancy. Transvaginal ultrasound was used in this patient, and made the correct diagnosis of ovarian pregnancy before surgery. We found that transvaginal ultrasound can be helpful in the diagnosis of the location of ectopic pregnancies.

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“…Ovarian ectopic pregnancy results either from fertilization of an oocyte retained in the peritoneal cavity which secondarily implants on the ovarian surface, or from failure of ovulation and fertilization in the ovary [4] [5] [6] [7]. Primary ovarian pregnancy is rare, with an incidence of 1/6000 to 1/40,000 pregnancies [2] [6] [8]. The two main risk factors identified in the occurrence of ovarian pregnancy are contraception by intrauterine device (IUD) and in vitro fertilization (IVF) [1] [2] [6].…”

Section: Discussionmentioning

confidence: 99%

Ovarian Pregnancy: A Case Report

Daff¹,

Donigolo²,

Mbodji³

et al. 2021

OJOG

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Ultrasound classification and clinical analysis of ovarian pregnancy: A study of 12 cases

Cited by 16 publications

References 15 publications

Rupture of Ectopic Ovarian Pregnancy Accompanied by Massive Intra-abdominal Bleeding and Disorder of the Coagulation Mechanism: A Rare and Life-Threatening Obstetric Complication

Rupture of Ectopic Ovarian Pregnancy Accompanied by Massive Intra-abdominal Bleeding and Disorder of the Coagulation Mechanism: A Rare and Life-Threatening Obstetric Complication

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Ovarian Pregnancy: A Case Report

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