scholarly journals Ovarian Pregnancy- A Rare Ectopic Pregnancy

2010 ◽  
Vol 49 (177) ◽  
Author(s):  
M Thapa ◽  
S Rawal ◽  
R Jha ◽  
M Singh

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.

Author(s):  
Saroj Choudhary ◽  
Preksha T. Singh ◽  
Indra Bhati ◽  
R. K. Deora

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. 


Author(s):  
Priyanka Anand ◽  
Namrata Nargotra

Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity and accounts for only 0.15-3% of all ectopic gestations. It usually ends with rupture before the end of first trimester. The diagnosis is often made intraoperatively and confirmed histopathologically. A 23 year old female presented with severe hypogastric abdominal pain with no history of amenorrhea. She underwent a laprotomy and a right sided salpingo-oopherectomy and the excised material was sent for histopathological examination. Chorionic villi were seen within the ovarian stroma suggesting the likely possibility of an ovarian pregnancy. Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. This highlights the importance of histopathology for the accurate diagnosis of this condition.


2019 ◽  
Vol 10 (2) ◽  
pp. 183-185
Author(s):  
Sehereen Farhad Siddiqua ◽  
Sharmin Abbasi ◽  
Shifin Rijvi ◽  
Abrar Saqif Hasan

Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. Primary ovarian ectopic pregnancy means  implantation of the gestational sac in the ovary. Its incidence after natural conception ranges from 1 in 2000 to 1  in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. It ends with rupture before the end of the  first trimester. The preoperative diagnosis of this type of pregnancy is not easy. It is characterized by a poor  clinical symptomatology and a difficult ultrasound diagnosis but confirmed by histological findings. For the  management, Conservative laparoscopic surgery involves ovarian resection or aspiration of the pregnancy with  coagulation of the implantation site. However, in case with profuse intraperitoneal bleeding an oophorectomy or  salpingo-oophorectomy may be necessary to achieve hemostasis. We report here one such uncommon case of  ovarian ectopic pregnancy. Our patient is a 27 years old nulliparous woman came with severe hypogastric pain.  During laparoscopy, ruptured ovarian ectopic pregnancy was diagnosed, and wedge resection of the ovary was only done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 183-185


2011 ◽  
Vol 2 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Meenakshi Bharath ◽  
Nivedita Shetty ◽  
T Shashikala ◽  
Harpreet Kaur

ABSTRACT Ovarian ectopic pregnancy should be kept in mind as a rare possibility following assisted reproductive techniques. Although early use of quantitative serum â-hCG and pelvic ultrasonography has increased our diagnostic capability for ectopic pregnancy, ovarian pregnancy still represents a diagnostic problem. Laparoscopy is the gold standard for diagnosis and treatment for ovarian ectopic pregnancy.


2021 ◽  
Vol 9 (09) ◽  
pp. 288-290
Author(s):  
Bushra Majeed ◽  
◽  
Tarushikha Gupta ◽  
Chetan P. Gupta ◽  
◽  
...  

Background:Ovarian pregnancy is classified as a rare cause of non tubal pregnancy wherein maximum ends in rupture in early months of pregnancy. Sign and symptoms often mimic tubal rupture. To distinguish between the two based on presenting complaints and ultrasonography findings is difficult. Generally confirmation of ovarian preganancy is done only after histopathological examination due to its similarity in presenting complaints to tubal pregnancy. Medical management has also been tried for unruptured ectopic pregnancy. Case:Presenting a rare case report of ruptured left ovarian pregnancy. pt was 26yrs old multiparous with previous two cesarean 7yrs and 4 yrs back with one MTP kit taken 6 months back with pain in left iliac fossa. USG findings were suggestive of tubal rupture, however during laparotomy ruptured left ovarian pregnancy was diagnosed followed by left oopherectomy later on confirmed by histopathological examination.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Monika Rathi ◽  
Seema Awasthi ◽  
Satish Kumar Budania ◽  
Faiyaz Ahmad ◽  
Shyamoli Dutta ◽  
...  

Brooke-Spiegler syndrome is a rare entity. It is an autosomal dominant syndrome in which multiple trichoepitheliomas, cylindromas, or other adnexal tumors are seen. Very few cases of Brooke-Spiegler syndrome are reported in the literature. We came across a 40 -year-old female in which multiple trichoepitheliomas and cylindromas were seen on scalp. In view of clinical history and histopathological examination it was diagnosed as Brooke-Spiegler syndrome. We report this case because of its rarity.


2021 ◽  
Vol 11 (1) ◽  
pp. 1898-1901
Author(s):  
Moushami Singh ◽  
Raghu Ram Bhandary ◽  
Jitendra Pariyar ◽  
Swechha Maskey ◽  
Hari Prasad Dhakal

Struma ovarii, also known as goiter of the ovary is a rare disease.1 Considering the rarity of this tumor and constrained literature in Nepal’s context, we hereby present a case of a 46-year-old female, asymptomatic, with normal blood parameters who presented with an abdominal mass. She was suspected of malignant ovarian mass on an ultrasonogram. Intraoperative frozen section examination revealed a benign tumor suggestive of dermal tumor versus struma ovarii. Postoperatively, histopathological examination was performed to assess the percentage of thyroid tissue and a diagnosis of benign struma ovarii was made which was confirmed by thyroglobulin positivity on immunohistochemistry. No features of immature teratoma and malignancy were identified.


2016 ◽  
Vol 6 (12) ◽  
pp. 1048-1050
Author(s):  
S Karki ◽  
D Karki

Tuberculosis of the oral cavity which is an uncommon occurrence can be primary or secondary. In the absence of active pulmonary tuberculosis, isolated tonsillar tuberculosis is rare. Herein, we report two cases of bilateral tonsillar tuberculosis who presented as recurrent sore throat for which tonsillectomy was done. No active primary pulmonary lesion was found in these cases. Histopathological examination revealed caseating epithelioid granulomas with Langhans giant cells. Ziehl Neelson stain for acid fast bacilli was positive in one case. Tonsillar tuberculosis, though a rare entity, should be considered in the clinical differential diagnosis of tonsillar lesions. Histopathological examination with Ziehl Neelson stain should be performed for definite diagnosis.


Author(s):  
Neetha Nandan ◽  
Kishan Prasad ◽  
Mubeena Begum ◽  
Supriya Rai

Choriocarcinoma is extremely aggressive form of gestational trophoblastic disease. It occurs due to neoplastic changes in the chorionic villi. The most common site of origin is uterus but rarely can occur in tube, cervix or ovary. Tubal choriocarcinoma may develop either by malignant transformation of a tubal pregnancy or can arise denovo without an ectopic pregnancy. The reported incidence of tubal choriocarcinoma is approximately 1.5/1,000,000 births. Here, we report a case in which salphingectomy was done thinking it was an acute ectopic pregnancy, but histopathological examination showed tubal choriocarcinoma. This tubal choriocarcinoma occurred denovo and was not secondary to an ectopic pregnancy. Patient did not need adjuvant chemotherapy as it was detected early and is being followed up by β-hcg monitoring.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama

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.


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