Author:
Kasraei Sara,Seifollahi Akram,Aghajani Faezeh,Nakhostin-Ansari Amin,Zarei Neda,Tehranian Afsaneh
Abstract
Abstract
Background
Among all ectopic pregnancies, between 0.5% and 3.5% are ovarian ectopic pregnancies, a potentially life-threatening condition when ruptured due to its serious potential for hemorrhaging. A majority of ovarian ectopic pregnancies are diagnosed by the 7th week of pregnancy when the patient becomes symptomatic, and ultrasound can be used to diagnose this condition.
Case presentation
We present the case of a 39-year-old Persian woman in the 12th week of gestation who presented with vaginal bleeding and abdominal pain and was diagnosed with ovarian ectopic pregnancy. Her notable laboratory finding was β-human chorionic gonadotropin > 15,000, which indicates definite pregnancy. Transvaginal ultrasound (TVS) revealed no evidence of intrauterine pregnancy, but a well-circumscribed gestational sac in the left ovary. The patient was successfully treated with resection of the gestational sac and partial left salpingo-oophorectomy. Histopathological studies confirmed the diagnosis of ovarian ectopic pregnancy.
Conclusion
The case emphasizes the ability of ovarian ectopic pregnancy to develop asymptomatically through the course of pregnancy and points to the necessity for high-quality prenatal care and the importance of determining the fetal site during pregnancy.
Publisher
Springer Science and Business Media LLC
Reference24 articles.
1. Goyal LD, et al. Ovarian ectopic pregnancy: a 10 years’ experience and review of literature. Iran J Reprod Med. 2014;12(12):825–30.
2. Gaudoin MR, et al. Is the incidence of ovarian ectopic pregnancy increasing? Eur J Obstet Gynecol Reprod Biol. 1996;70(2):141–3.
3. Melcer Y, et al. Primary ovarian ectopic pregnancy: still a medical challenge. J Reprod Med. 2016;61(1–2):58–62.
4. Begum J, Pallavee P, Samal S. Diagnostic dilemma in ovarian pregnancy: a case series. J Clin Diagn Res. 2015;9(4):Qr11–3.
5. Joseph RJ, Irvine LM. Ovarian ectopic pregnancy: Aetiology, diagnosis, and challenges in surgical management. J Obstet Gynaecol. 2012;32(5):472–4.
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