Ovarian Pregnancy

Authors

  • Widayat Widayat Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
  • Ariadi Ariadi Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang

DOI:

https://doi.org/10.25077/aoj.3.2.142-150.2019

Abstract

Objective: To report cases of ovarian pregnancy

Materials and Methods: This article describes a case report of a 33 year old woman, with a diagnosis of Ovarian Pregnancy at 6-7 weeks gravid G2P0A1H0. The patient came to the emergency room Dr. M. Djamil Padang. The ultrasound examination gives the impression of an ectopic pregnancy in the right ampulla tube. After laparoscopy, an ectopic pregnancy was seen in the right ovary without bleeding. Right ovarian pregnancy impression. Partial Oophorectomy was performed and tissue evacuation with bleeding during the procedure ± 30 cc.

Results: Patients receiving laparoscopic intervention showed an ectopic pregnancy in the right ovary without bleeding, the left ovary was within normal limits. Right ovarian pregnancy impression. Partial Oophorectomy was performed and tissue evacuation with bleeding during the procedure ± 30 cc. The tissue was examined for histology of anatomic pathology.

Conclusion: Ovarian pregnancy is one of the rarest forms of ectopic pregnancy, it is sometimes difficult to diagnose because it can be confused with tubal ectopic pregnancy or hemorrhagic ovarian cyst. Pregnancy ovaries can rupture in the first trimester of pregnancy.

Keywords: Ovarian Pregnancy, Laparoscopy, Partial Oophorectomy

References

Abdulkareem T A, Eidan S M. Ectopic Pregnancy: Diagnosis, Prevention and Management. Intech journal. 2017.

Prawirohardjo, Sarwono. Ilmu Kebidanan. 2014. Bina Pustaka Sarwono Prawirohardjo. Jakarta

Tehrani HG, Hamoush Z, Ghasemi M, Hashemi L. Ovarian ectopic pregnancy: A rare case. Iran J Reprod Med. 2014 April; 12(4): p. 281-4.

Yuksel MA, Abali R, Unal F, Temel I, Boran AB. Primary ovarian pregnancy: a report of four cases. Eastern J of Med. 2011; 16: p. 277-80.

Einenkel J, Baier D, Horn LC, Alexander H. Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrome. Hum Rep. 2000; 15(9): p. 2037-40.

Ashrafganjoei T, Honar BN, Defaee S. Thirteen weeks ovaarian pregnancy following in vitro fertilization for primary infertility treatment: A case report. Iran J Reprod Med. 2014 November; 12(11).

Goyal LD, Tondon R, Goel P, Sehgal A. Ovarian ectopic pregnancy: A 10 years' experience and review of literature. Iran J Reprod Med. 2014 December; 12(12): p. 825-30.

Han M, Kim J, Kim H, Je G, Hwang T. Bilateral ovarian pregnancy after in vitro fertilization and embryo transfer in a patient with tubal factor infertility. J of Assisted rep and Gen. 2004 May; 21(5).

Dhorepatil B, Rapol A. A rare case of unruptured viable secondary ovarian pregnancy after IVF/ICSI treated by conservative laparoscopic surgery. J of Hum Rep Sci. 2012 Jan-Apr; 5(1).

Panda S, Darlong lM, Singh S, Borah T. Case report of a primary ovarian pregnancy in a primigravida. J Hum Reprod Sci. 2009 Jul-Dec; 2(2): p. 90-1.

Narvekar S, Vijaykumar P, Shetty N, Gupta N, Ashwini G, Rao K. Unruptured ovarian pregnancy following in-vitro fertilization: Missed diagnosis followed by successful laparoscopic management. J Hum Reprod Sci. 2008 Jan-Jun; 1(1).

Koroglu M, Kayhan A, Soylu FN, Erol B, Schmid-Tannwald C, Gurses C, et al. MR imaging of ectopic pregnancy with an emphasis on unusual implantation sites. Jpn J Radiol. 2013 November; 31: p. 75-81.

Sepilian VP, Wood E. Ectopic pregnancy [internet]. New York: Medscape; 2015

Corrigan KJ, Kowalzyk DR. Ectopic ovarian pregnancy in a second-trimester patient. Am J of Emergency Med. 2007; 25: p. 1085.e3-1085.e4.

Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Ectopic Pregnancy. In Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. William Obstetrics 23rd Edition. New York: McGraw Hill; 2010. p. 238-5

Downloads

Published

2019-12-12

Issue

Vol. 3 No. 2 (2019)

Section

CASE REPORT

License

Copyright (c) 2019 JOURNAL ANDALAS OBSTETRIC & GYNAECOLOGY

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright

Authors who publish with this journal agree to the following terms:

  1. Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

License:

Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.