Surgical Treatment of Ovarian Pregnancy

Author:

Thanasa Efthymia1,Thanasas Ioannis2ORCID,Koutalia Nikoleta2,Mousia Maria3

Affiliation:

1. Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece

2. Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, Greece

3. Department of Pathology, General Hospital of Trikala, Trikala, Greece

Abstract

The description of this case concerns the early diagnosis and the surgical treatment of a patient diagnosed with an ectopic ovarian pregnancy. A gravida 2, para 0 woman with a history of termination of pregnancy in the second trimester, was referred to the outpatients of the Gynecologic Department of the General Hospital of Trikala, reporting vaginal bleeding, accompanied by a deep, mild pain in the abdomen for a few days. The urine pregnancy test was positive. The transvaginal ultrasound in combination with the β-chorionic gonadotropin level was indicative of an ectopic pregnancy, and the surgical treatment of the patient was decided. Intraoperatively, the presence of an ovarian ectopic pregnancy was detected, and a wedge resection of the affected ovary was performed. The patient was discharged from our clinic on the third postoperative day, with instructions for weekly follow-up of the β-chorionic gonadotropin level until it returns to normal values.

Publisher

Hindawi Limited

Subject

Obstetrics and Gynecology

Reference25 articles.

1. ACOG Practice Bulletin No. 191: Tubal Ectopic Pregnancy

2. Ectopic pregnancy; risk factors and comparison of intervention success rates in tubal ectopic pregnancy;M. Kazandi;Clinical and Experimental Obstetrics & Gynecology,2011

3. Ovarian pregnancy: A report of twenty cases in one institution

4. Ectopic pregnancy: a review

5. Non-tubal ectopic pregnancy

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