The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management

Ovarian ectopic pregnancies are a rare occurrence; however the incidence is on the rise. Preoperative diagnosis remains difficult due to nonspecific clinical symptoms and USS findings. Most patients undergo diagnostic laparoscopy with subsequent surgical management. We present the case of a 32-year-...

Full description

Saved in:
Bibliographic Details
Main Authors: Meher Tabassum, Kiran Atmuri
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2017/9856802
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565212830498816
author Meher Tabassum
Kiran Atmuri
author_facet Meher Tabassum
Kiran Atmuri
author_sort Meher Tabassum
collection DOAJ
description Ovarian ectopic pregnancies are a rare occurrence; however the incidence is on the rise. Preoperative diagnosis remains difficult due to nonspecific clinical symptoms and USS findings. Most patients undergo diagnostic laparoscopy with subsequent surgical management. We present the case of a 32-year-old female who presented with vaginal bleeding and an unsited pregnancy, with a BhCG of 24693. Formal USS described unruptured right tubal ectopic with ovarian pregnancy being diagnosed at laparoscopy. A wedge resection was conducted to preserve ovarian function. Postoperative recovery was uneventful and BhCG levels returned to zero (nonpregnant) in an outpatient setting. Although laparoscopy remains the gold standard of diagnosis and treatment, in this case report we discuss benefits of early diagnosis for fertility conserving management, including nonsurgical options.
format Article
id doaj-art-0d742fd623fd4f35987b293bde1a8c7d
institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-0d742fd623fd4f35987b293bde1a8c7d2025-02-03T01:08:56ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/98568029856802The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of ManagementMeher Tabassum0Kiran Atmuri1Department of Obstetrics and Gynaecology, The Royal Women’s Hospital, 20 Flemington Road, Parkville, VIC 3052, AustraliaDepartment of Obstetrics and Gynaecology, The Royal Women’s Hospital, 20 Flemington Road, Parkville, VIC 3052, AustraliaOvarian ectopic pregnancies are a rare occurrence; however the incidence is on the rise. Preoperative diagnosis remains difficult due to nonspecific clinical symptoms and USS findings. Most patients undergo diagnostic laparoscopy with subsequent surgical management. We present the case of a 32-year-old female who presented with vaginal bleeding and an unsited pregnancy, with a BhCG of 24693. Formal USS described unruptured right tubal ectopic with ovarian pregnancy being diagnosed at laparoscopy. A wedge resection was conducted to preserve ovarian function. Postoperative recovery was uneventful and BhCG levels returned to zero (nonpregnant) in an outpatient setting. Although laparoscopy remains the gold standard of diagnosis and treatment, in this case report we discuss benefits of early diagnosis for fertility conserving management, including nonsurgical options.http://dx.doi.org/10.1155/2017/9856802
spellingShingle Meher Tabassum
Kiran Atmuri
The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
Case Reports in Obstetrics and Gynecology
title The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
title_full The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
title_fullStr The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
title_full_unstemmed The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
title_short The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management
title_sort unexpected ovarian pregnancy at laparoscopy a review of management
url http://dx.doi.org/10.1155/2017/9856802
work_keys_str_mv AT mehertabassum theunexpectedovarianpregnancyatlaparoscopyareviewofmanagement
AT kiranatmuri theunexpectedovarianpregnancyatlaparoscopyareviewofmanagement
AT mehertabassum unexpectedovarianpregnancyatlaparoscopyareviewofmanagement
AT kiranatmuri unexpectedovarianpregnancyatlaparoscopyareviewofmanagement