scholarly journals Embarazo ectópico ovárico: reporte de caso y revisión de la literatura

2015 ◽  
Vol 66 (4) ◽  
pp. 306
Author(s):  
Fabio Aníbal Gómez-Rey ◽  
Carlos Andrés Trejos-Ramírez
Keyword(s):  
Ectopic Pregnancy ◽  
Pregnancy Complications ◽  
Ovarian Pregnancy

<p>Objetivo: reportar un caso de embarazo ectópico ovárico y realizar una revisión de la literatura acerca del diagnóstico y su tratamiento.</p><p>Materiales y métodos: se reporta el caso de un embarazo ectópico ovárico en una paciente usuaria de dispositivo intrauterino (DIU) de cobre. Fue tratado por laparoscopia, en una institución general privada de tercer nivel de complejidad. Se realiza búsqueda de la información objeto de la revisión en las bases de datos PubMed, Ovid, ScienceDirect y Lilacs, mediante terminología MeSH: “pregnancy, ectopic”; “pregnancy, ovarian”; “pregnancy complications”. Se buscaron reportes y series de caso y artículos de revisión.</p><p>Resultados: se encontraron 23 referencias bibliográficas de las cuales 1 es un capítulo de libro, 9 son revisiones de tema y 13 son reportes o series de casos. Para el diagnóstico se requiere un alto grado de sospecha clínica, medición de la subunidad beta de la hormona gonadotropina coriónica humana (B-HCG) y ecografía obstétrica transvaginal realizada por un operador experimentado. El tratamiento generalmente es quirúrgico, con enfoque por vía laparoscópica o laparotomía exploratoria de acuerdo con la experiencia y el entrenamiento del cirujano tratante. No hay evidencia que respalde el uso de metrotexate en esta condición.</p><p>Conclusión: el embarazo ectópico ovárico es un cuadro clínico de presentación muy poco frecuente, el ultrasonido tiene utilidad limitada y el tratamiento quirúrgico con resección en cuña o la ooforectomía es el más utilizado.</p>

scholarly journals A Case of Ovarian Pregnancy Diagnosed by MRI

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama
Keyword(s):  
Ectopic Pregnancy ◽  
High Intensity ◽  
Transvaginal Ultrasonography ◽  
Mr Images ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Low Intensity ◽  
Ovarian Pregnancy ◽  
Gestational Sac ◽  
The Right

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

scholarly journals Ectopic ovarian pregnancy following in vitro fertilization: case report

2020 ◽  
Vol 9 (5) ◽  
pp. 2174
Author(s):  
Shrinkhla Khandelwal ◽  
Neeta Natu
Keyword(s):  
Risk Factors ◽  
In Vitro Fertilization ◽  
Ectopic Pregnancy ◽  
Transvaginal Sonography ◽  
Fresh Embryo Transfer ◽  
Pregnancy Risk ◽  
Vitro Fertilization ◽  
Ovarian Pregnancy ◽  
Clinical Phenomenon

Ovarian pregnancy is a rare form of extrauterine ectopic pregnancy. Risk factors such as reproductive treatments and infertility have been identified in recent studies. In this article, we present a case of ovarian ectopic pregnancy occurring following in vitro fertilization treatment and a fresh embryo transfer. The diagnosis of ovarian pregnancy was made during transvaginal sonography performed due to suspected ectopic pregnancy. Ovarian ectopic pregnancy is a rare clinical phenomenon. Late diagnosis and lack of appropriate intervention may have catastrophic results. Several mechanisms and risk factors are proposed, and their acknowledgment may improve early diagnosis and prevention of complications.

scholarly journals Advanced ovarian pregnancy: an elusive diagnosis

2019 ◽  
Vol 8 (7) ◽  
pp. 2878
Author(s):  
Bhanupriya .
Keyword(s):  
Differential Diagnosis ◽  
Ectopic Pregnancy ◽  
Ovarian Cyst ◽  
Clinical Picture ◽  
Early Onset ◽  
Rare Case ◽  
Ovarian Tissue ◽  
First Trimester ◽  
Ovarian Pregnancy ◽  
Ectopic Pregnancies

Primary ovarian ectopic is a rare variant of ectopic pregnancies. It is commonly confused with tubal pregnancy aborted over ovary, hemorrhagic ovarian cyst, ruptured corpus luteal cyst. The women with ovarian ectopic generally presents early because of early onset hemorrhage in ovary. This is a rare case where woman with ectopic pregnancy presents at 13 weeks. The clinical picture is also highly unusual with just spotting and fainting attacks at the end of first trimester to make a diagnosis of ectopic pregnancy. The laparotomy done showed an unruptured ovarian ectopic pregnancy and with 350 cc hemoperitoneum. Salpingoopherectomy was done and the ectopic mass was removed as hardly any ovarian tissue was left to conserve the ovary. Hence, clinicians should be cautious enough to keep a differential diagnosis of ectopic even at advanced gestation.

scholarly journals Incidence of early pregnancy complications, management protocols and its outcome in patients at Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India

2017 ◽  
Vol 6 (9) ◽  
pp. 3837
Author(s):  
Akansha . ◽  
Nagajan Bhadarka
Keyword(s):  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Pregnancy Complications ◽  
Medical Science ◽  
First Trimester ◽  
Related Complication ◽  
Hospital Patients ◽  
Clinical Benefits ◽  
Threatened Abortion ◽  
Vesicular Mole

Background: Early Pregnancy Complications can cause significant morbidity and mortality. Pregnant women an present with h/o amenorrhea, abdominal pain, vaginal bleeding or incidental scan finding of missed abortion, ectopic pregnancy and vesicular mole, features of hypermesis gravidorum like fatigue, nausea, vomiting, dryness and diminished urine output. The objective of present study was to analyze the incidence of various early pregnancy complications, assess the protocols for diagnosing these complications and their management.Methods: Present study was conducted at the Department of Obstetrics and Gynecology, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. All the women with first trimester pregnancy with different complications were included in this study while those women with uneventful first trimester were excluded. The inducted women were registered on pre-designed proforma. Studied variables including demographic details, gestational period, type of complications, risk factors, treatment and outcome.Results: Out of 740 total admissions 439 abortions of which incomplete abortion was 262, missed abortions were 132, threatened abortion 42 and 3 cases of septic abortion, ectopic pregnancy 154, molar pregnancy33, hyperemesis 31. There were about 63 cases of non-pregnancy related complication reported during early pregnancy like 31 with UTI, 9 with renal colic, 2 cases of appendicitis, four cases of asymptomatic cholelithiasis, 2 cases of hepatitis, 5 cases of ovarian cyst complicating pregnancy, 2 cases of ovarian torsion. Their mean age was 30.8+6.8 years.Conclusions: Study was successful in creating a confidence among trainees when following the recommended protocols as well as delivering clinical benefits to the hospital, patients and staff. Early gynecological consultation and bedside ultrasound scanning within the emergency department were key requirements for any emergency concerns.

On the question of rare forms of ectopic pregnancy (graviditas fimbrialis and graviditas interstitialis)

2021 ◽  
Vol 20 (5) ◽  
pp. 490-499
Author(s):  
A. I. Timofeev
Keyword(s):  
Ectopic Pregnancy ◽  
Point Of View ◽  
Egg Cell ◽  
Mechanical Theory ◽  
Ovarian Pregnancy ◽  
Inner Surface

From the point of view of the mechanical theory explaining the occurrence of an ectopic pregnancy by a violation of the transport of the egg cell, the first stage where an ectopic inoculation of an egg can occur will be the inner surface of the follicle itself, in which this egg has matured. The possibility of such an intrafollicular ovarian pregnancy has been proven by the well-known case of C. van Tussenbroeck1) and recently confirmed by the observation of Hoehne2). In such cases, the release of the egg from the follicle cavity does not occur at all.

scholarly journals P074: Emergency department utilization and outcomes for patients with early pregnancy complications

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S91-S91
Author(s):  
R. Glicksman ◽  
D. Little ◽  
C. Thompson ◽  
S. McLeod ◽  
C. Varner
Keyword(s):  
Emergency Department ◽  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Pregnancy Complications ◽  
Pregnancy Loss ◽  
Hospital Admissions ◽  
Emergency Department Utilization ◽  
Early Pregnancy Loss ◽  
Surgical Interventions ◽  
Ed Visits

Introduction: Affecting roughly 1 in 5 pregnancies, early pregnancy loss is a common experience for reproductive-aged women. In Canada, most women do not establish care with an obstetrical provider until the second trimester of pregnancy. Consequently, pregnant patients experiencing symptoms of early pregnancy loss frequently access care in the emergency department (ED). The objective of this study was to describe the resource utilization and outcomes of women presenting to two Ontario EDs for early pregnancy loss or threatened early pregnancy loss. Methods: This was a retrospective cohort study of pregnant (≤20 weeks), adult (≥18 years) women in two EDs (one community hospital with 110,000 annual ED visits; one academic hospital with 65,000 annual ED visits) between January 2010 and December 2017. Patients were identified by diagnostic codes indicating early pregnancy loss or threatened early pregnancy loss. Results: A total of 16,091 patients were included, with a mean (SD) age of 32.8 (5.6) years. Patients had a total of 22,410 ED visits for early pregnancy complications, accounting for 1.6% of the EDs’ combined visits during the study period. Threatened abortion (n = 11,265, 50.3%) was the most common ED diagnosis, followed by spontaneous abortion (n = 5,652, 25.2%), ectopic pregnancy (n = 3,242, 14.5%), missed abortion (n = 1,541, 6.9%), and other diagnoses (n = 710, 3.2%). 8,000 (44.8%) patients had a radiologist-interpreted ultrasound performed during the initial ED visit. Median (IQR) ED length of stay was 3.4 (2.3 to 5.1) hours. There were 4,561 (25.6%) return ED visits within 30 days, of which 2,317 (50.8%) occurred less than 24 hours of index visit, and 481 (10.6%) were for scheduled, next day ultrasound. The total number of hospital admissions was 1,793 (8.0%), and the majority were for ectopic pregnancy (n = 1,052, 58.7%). Of admitted patients, 1,320 (73.6%) underwent surgical interventions related to early pregnancy. There were 474 (10.4%) patients admitted to hospital during return ED visits. Conclusion: Pregnant patients experiencing symptoms of early pregnancy loss in the ED frequently had radiologist-interpreted US and low rates of hospital admission, yet had high rates of return ED visits. This study highlights the heavy reliance on Ontario EDs to care for patients experiencing complications of early pregnancy.

scholarly journals Ovarian Pregnancy following Intracytoplasmic Sperm Injection and Embryo Transfer: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Amar Ramachandran ◽  
Swati Sharma ◽  
Kumar Pratap ◽  
Bhakta Rajesh ◽  
Vasudeva Akhila ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Embryo Transfer ◽  
Successful Treatment ◽  
Intracytoplasmic Sperm Injection ◽  
Ovarian Tissue ◽  
Rare Form ◽  
Ovarian Pregnancy

Ovarian pregnancy is a rare form of ectopic pregnancy following ICSI-ET, and the diagnosis depends on the physicians suspicion and experience. Preservation of ovarian tissue during surgery is of utmost importance to preserve fertility. We present a case of ovarian pregnancy who had a successful treatment preserving the ovary.

scholarly journals Ovarian Pregnancy- A Rare Ectopic Pregnancy

2010 ◽  
Vol 49 (177) ◽  
Author(s):  
M Thapa ◽  
S Rawal ◽  
R Jha ◽  
M Singh
Keyword(s):  
Ectopic Pregnancy ◽  
Histopathological Examination ◽  
Rare Entity ◽  
Ovarian Pregnancy

Primary ovarian pregnancy is a rare entity, the incidence being 1 in 25,000 to 40,000 pregnancies. The diagnosis is difficult and still continues to challenge the clinicians. A case of ovarian pregnancy is reported here. The patient underwent laparotomy with right sided oophorectomy. Histopathological examination confirmed it to be an ovarian pregnancy. Keywords: ectopia pregnancy, oophorectomy, ovarian pregnancy.

scholarly journals Surgical Treatment of Ovarian Pregnancy

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Efthymia Thanasa ◽  
Ioannis Thanasas ◽  
Nikoleta Koutalia ◽  
Maria Mousia
Keyword(s):  
Surgical Treatment ◽  
Ectopic Pregnancy ◽  
Chorionic Gonadotropin ◽  
Wedge Resection ◽  
Transvaginal Ultrasound ◽  
Gonadotropin Level ◽  
Ovarian Pregnancy ◽  
History Of ◽  
Urine Pregnancy Test

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.

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