The Incidence Of Primary Ovarian Pregnancy in a Tertiary Care Hospital in Central Kerala, India - A 10 Years study

  • P S Jayalakshmy KERALA UNIVERSITY OF HEALTH SCIENCES
  • Merin Jose KERALA UNIVERSITY OF HEALTH SCIENCES
  • V V Kamala KERALA UNIVERSITY OF HEALTH SCIENCES
  • P C Ansamma KERALA UNIVERSITY OF HEALTH SCIENCES
Keywords: Ectopic Pregnancy, Infertility, Primary Ovarian Pregnancy, Tubal gestation

Abstract

Background: Primary ovarian pregnancy was a very rare event in previous years. Its incidence has increased recently and is attributed to the increase in treatment of infertility by advanced techniques. Hence the authors decided to look into the incidence of primary ovarian pregnancy in this centre and the cause if any for it.Methods:  Specimens of Ovarian resection with a suspected clinical diagnosis of Primary ovarian pregnancy were analysed in the study for a period of 10 yrs from 2005 March to 2015 February.Result: A total of 28708 live-births occurred during this period. 261 ectopic pregnancies were operated by laparotomy; out of which 6 were primary ovarian pregnancies and 255 were tubal pregnancies.Conclusion: The incidence of primary ovarian pregnancies in this centre is 2.3% falling in the range of other studies. No history of infertility treatment was elicited for these cases. Majority of the patients were multigravidas with history of abortion.

Author Biographies

P S Jayalakshmy, KERALA UNIVERSITY OF HEALTH SCIENCES
PROFESSOR OF PATHOLOGY,GOVT.MEDICAL COLLEGE, THRISSUR, KERALA, INDIAPIN-680596
Merin Jose, KERALA UNIVERSITY OF HEALTH SCIENCES
JUNIOR RESIDENT OF PATHOLOGY,GOVT.MEDICAL COLLEGE, THRISSUR, KERALA, INDIAPIN-680596
V V Kamala, KERALA UNIVERSITY OF HEALTH SCIENCES
Associate Professor of  Pathology, Govt . Medical College, Thrissur, Kerala, India. 680596
P C Ansamma, KERALA UNIVERSITY OF HEALTH SCIENCES
Professor of Gynaecology & Obstetrics,Govt Medical College,Thrissur, Kerala, India. 680596

References

1. Russell Vang, James E. Wheeler. Diseases of the Fallopian Tube and Paratubal Region. In, Robert J. Kurman, Lora Hedrick Ellenson and Brigitte M. Ronnett (Eds). Blaustein’s Pathology of the Female Genital Tract Sixth Edition. New York, Springer, 2011;539-41.

2. Farquhar CM. Ectopic pregnancy. Lancet 2005;366:583–59.

3. Van Den Eeden SK, Shan J, Bruce C et al. Ectopic pregnancy rate and treatment utilization in a large managed care organization. Obstet Gynecol 2005;105:1052–1057.

4. Marcus SF, Macnamee M, Brinsden P. Heterotopic pregnancies after in-vitro fertilization and embryo transfer. Hum Reprod 1995;10:1232–1236.

5. Hallatt JG. Primary ovarian pregnancy: a report of twenty-five cases. Am J Obstet Gynecol 1982;143:55–60.

6. Ito H, Ishihara A, Koita H et al. Ovarian pregnancy: report of four cases and review of the literature. Pathol Int 2003;53:806–809.

7. Spiegelberg, O. Casuistry in ovarian pregnancy. Arch Gynaekol. 1878; 13: 73–7.

8. Grimes HG, Nosal RA, Gallagher JC () Ovarian pregnancy: a series of 24 cases. Obstet Gynecol 1983;61:174–180.

9. Daniel F Brennan, MD, Sanjay Kwatra, MD,Michael Kelly, MD,Michael Dunn, MD. Chronic ectopic pregnancy—two cases of acute rupture despite negative βhCG. The Journal of Emergency Medicine. October 2000;Volume 19, Issue 3, Pages 249–254)

10. Francesco Plotti, M.D. Alessandra Di Giovanni, M.D. Cosimo Oliva, M.D. Francesco Battaglia, M.D. Giovanni Plotti, M.D. Bilateral ovarian pregnancy after intrauterine insemination and controlled ovarian stimulation. Fertility and Sterility, 2008;Volume 90, Issue 5, Pages 2015.e3–2015.e5.

11. Raziel A, Schachter M, Mordechai E, Friedler S, Panski M, Ron-El R. Ovarian pregnancy-a 12-year experience of 19 cases in one institution; Eur J Obstet Gynecol Reprod Biol. 2004;114(1):92-6.

12. Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J Obstet Gynecol 1970;106:1004–1019
Published
2015-07-17
Section
Original Article