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-...
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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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Series: | Case Reports in Obstetrics and Gynecology |
Online Access: | http://dx.doi.org/10.1155/2017/9856802 |
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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 |
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