Ovarian pregnancy: a clinical case

• Dmitry G. Aryutin
• Ebecha K. Barinova
• Irina M. Ordiyants
• Saadet F. Damirova
• Irakli E. Tvaradze
• Maria G. Boone

Abstract

Ovarian pregnancy is a rare form of ectopic pregnancy that causes a major diagnostic problem. According to Yu.V. Kislitsyna (2018), 30% of women with a history of ectopic pregnancy later have difficulties with the onset of a normal pregnancy, 20% of those observed have an increased risk of recurrent ectopic pregnancy, and with a sequential, repeated ectopic pregnancy, the risk increases to 32%. The article presents a clinical case of an ovarian pregnancy in a 31-year-old woman with a history of one tubal pregnancy in 2016, underwent laparoscopic milking. Transvaginal ultrasonography showed an echogenic mass in the right ovary with no evidence of tubal pregnancy.

Keywords:ectopic pregnancy, Laparoscopy, treatment

References

1. Kislytsina Yu.V., Reva N.L., Khlybova S.V. Description of the clinical case of a interrupted tubal pregnancy 15 weeks of gestation. Vyatskiy meditsinskiy vestnik [Vyatka Medical Bulletin]. 2018; 4: 60. (in Russian)

2. Lebedev V.A., Shahlamova M.N., Davydov A.I. Rare forms of ectopic pregnancy. Vyatskiy meditsinskiy vestnik [Difficult Patient]. 2016; 14 (8-9): 78-92. (in Russian)

3. Malyshkina A.I., Romanov V.N., Shore A.L., Kirsanov A.N. Clinical observation of ovarian pregnancy after extrocorporal fertilization. Akusherstvo i ginekologiya [Obstetrics and Gynecology]. 2012; 3: 102-4. (in Russian)

4. Fetishcheva L.E., Ushakova G.A. Rare forms of ectopic pregnancy. Problems of diagnosis, treatment and restoration of fertility. Rossiyskiy vestnik akushera-ginekologa [Russian Bulletin of Obstetrician-Gynecologist]. 2017; 17 (4): 11-9. (in Russian)

5. Choi H.J., Im K.S., Jung H.J., et al. Clinical analysis of ovarian pregnancy: a report of 49 cases. Eur J Obstet Gynecol Reprod Biol. 2011; 158 (1): 87-9. PMID: 21601978.

6. Ectopic pregnancy - actuality increases. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie [Obstetrics and Gynecology: News, Opinions, Training]. 2014; 3: 24-28. (in Russian)

7. Dovgopoly A.V., Popov Yu.V., Vanke N.S., Kedrova A.G., Kaganovs-kaya L.M., Telnova A.V. Laichkova pregnancy against the background of the use of intrauterine spirals (clinical case). Opukholi zhenskoy reproduktivnoy sistemy [Tumors of Female Reproductive System]. 2018; 2. (in Russian)

8. Dosmaganbetova S.A. Ultrasound diagnosis of progressive ovarian pregnancy. Meditsina i ekologiya [Medicine and Ecology]. 2012; 4: 65. (in Russian)

9. Sarsembayeva M.M. Ectopic pregnancy. Causes, symptoms, treatment, prognosiss. Vestnik khirurgii Kazakhstana [Bulletin of Surgery of Kazakhstan]. 2012; 4: 32. (in Russian)

10. Comstock C., Huston K., Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol 2005; 105 (1): 42-5. PMID: 15625140.

11. Khandaker S, Chitkara P, Cochran E, Cutler J. An ovarian pregnancy in a patient with a history of bilateral salpingectomies: a rare case. Case Rep Obstet Gynecol. 2015; 17:740376. https://doi.org/10.1155/2015/740376

12. Dane C., Dane B., Yayla M., Qetin A., Dural S., Tarlaci A. An ovarian pregnancy with delivery of a live infant. Perin J. 2005; 13 (3): 125--7.

13. Shamma F.N., Schwartz L.S. Primary ovarian pregnancy successfully treated with methotrexate. Am J Obstet Gynecol. 1992; 167 (5): 11071308.

14. Mittal S., Dadhwal V., Baurasi P. Successful medical management of ovarian pregnancy. Int J Gynecol Obstet. 2003; 80 (3): 309-310.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)