A rare case of unruptured live second trimester ovarian ectopic pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20203880Keywords:
Ectopic, Ovarian, PregnancyAbstract
Ovarian ectopic pregnancy is an extreme rare entity in all the cases of ectopic pregnancies. Before, the end of first trimester, it usually ends with rupture. It is such a unique and rare presentation that only 3% of all ectopic pregnancies are reported due to an ovarian cause. In this case report, authors have presented a patient with ovarian ectopic pregnancy which was found unruptured, live at the second trimester. The patient presented with abdominal pain and after routine check-up and ultrasound abdomen, patient was taken for an emergency explorative laparotomy and the ovarian pregnancy was excised and sent for histopathological examination, the histopathological examination further confirmed the diagnosis of the same. In some researches it has been seen that ovarian pregnancies are rising, considering that, the findings of the report may help frame future diagnostic and treatment guidelines.
References
Fritz MA, Speroff L. Clinical Gynecologic Endocrinology and infertility. 8th Ed. Philadelphia: 2011:1409.
Scutiero G, Di Gioia P, Spada A, Greco P. Primary ovarian pregnancy and its management. JSLS. 2012;16:492-4.
Odejinmi F, Rizzuto MI, MacRae R, Olowu O, Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol. 2009;16:354-9.
Shrestha A, Chawla CD, Shrestha RM. Ruptured primary ovarian pregnancy: a rare case report. Kathmandu Univ Med J. 2012;10:76-7.
Hallet JG. Primary ovarian pregnancy. A case report of twenty-five cases. Am J Obstet Gynecol. 1982;143(1):55-60.
Grimes H, Nosal RA, Gallagher JC. Ovarian pregnancy. A series of 24 cases. Obstet Gyncol. 1983;61:174-80.
Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics. 23rd Ed. Mc Graw Hill; Ectopic pregnancy; 2010:251.
Gaudoin MR, Coulter KL, Robins AM, Verghese A, Hanretty KP. Is the incidence of ovarian ectopic pregnancy increasing? Eu J Obstet Gynecol Reprod Biol. 1996;70(2):141-3.
Raziel A, Golan A, Pansky M, Ron-El R, Bukovsky I, Caspi E. Ovarian pregnancy: a report of twenty cases in one institution. Am J Obstet Gynecol. 1990;163(4):1182-5.
Spiegelberg O. Zur Cosuistik der Ovarialschwanger schalt. Arch Gynaekol. 1973;13:73-6.
Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol. 2005;105(1):42-5.
Odejinmi F, Rizzuto MI, Macrae R, Olowu O, Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian preg- nancy and review of literature. J Minimal Inv Gynecol. 2009;16:354-9.
Marcus SF, Brinsden PR. Primary ovarian pregnancy after in vitro fertilization and embryo transfer: report of seven cases. Fertil Steril. 1999;60:167-9.
Odejinmi F, Rizzuto MI, Macrae R, Olowu O, Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minimal Inv Gynecol. 2009;16:354-9.
Nadarajah S, Sim LN, Lo SF. Laparoscopic management of an ovarian pregnancy. Singapore Med J. 2002;43:95-6.
Eskandar O. Conservative laparoscopic management of a case of ruptured ovarian ectopic pregnancy by using a Harmonic scalpel. J Obstet Gynaecol. 2010;30:67-9.
Tinelli A, Hudelist G, Malvasi A, Tinelli R. Laparoscopic management of ovarian pregnancy. J Society Laparoendoscop Surg. 2008;12:169-72.
Su WH, Cheung SM, Chang SP, Chang WH, Cheng MH. Is ovarian pregnancy a medical illness? Methotrexate treatment failure and rescue by laparoscopic removal. Taiwanese J Obstet Gynecol. 2008;47:471-3.