Ruptured Ovarian Pregnancy in a Young Primigravida
Keywords:
Ectopic pregnancy, histopathological examination, laparotomy, ovarian pregnancy, rupture.
Abstract
Primary ovarian pregnancy is one of the rarest variety of ectopic pregnancy accounting for 0.15-3% of all ectopic gestations. Heartig estimated that ovarian pregnancy occur in 1 in 25000-40000 pregnancies. Pre operative diagnosis is challenging and needs high index of suspicion. In any case of ruptured ectopic pregnancy where tubes are found to be normal on laparotomy an ovarian pregnancy must be ruled out. We report such a rare case of ruptured ovarian pregnancy diagnosed on laparotomy which was later on confirmed by histopathological examinationReferences
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11. Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Ovarian pregnancies: Revaluation of diagnostic criteria. J Gynecol Obstet Biol Reprod. 2002; 31(8):741-6.
12. Portundo JA, Ochoa C, Gomez BJ, Uribaron A. Fertility and conception of 8 patients with ovarian pregnancy. Int J Fertil. 1984;29:254.
2. Hertig AT. Discussion of Gerin – Lojoie L. Ovarian pregnancy. Am J Obstet and Gynecol. 1951;62:920.
3. Das S, Kalyani R, Lakshmi M et al. Ovarian Pregnancy. Indian J Path Microbiol 2008;51(1):37-8.
4. Gary C, Kenneth J, Steven L, John C, Catherine Y, et al. Ectopic pregnancy. Williams Obstetrics. 24th ed. New York:McGraw Hill; 2014:377.
5. Ciortea R, Costin N, Chiroiu B, Malutan A, Mocan R, et al. Ovarian pregnancy associated with pelvic adhesions. Clujul Med. 2013;86:77-9.
6. Dhorepatil B, Rapol A. A rare case of unruptured viable secondary ovarian pregnancy after IVF/ICSI treated by conservative laparoscopic surgery. J Hum Reprod Sci. 2012;5:61-3.
7. Mehmood SA, Thomas JA. Primary ectopic ovarian pregnancy (report of three case). J Postgrad Med 1985;31:219-22.
8. De Seta F, Baraggino E, Strazzanti C, De Santo D, Tracanzan G, Guaschino S. Ovarian pregnancy: A case report. Acta Obstet Gynecol Scand 2001;43:095-6.
9. Spiegelberg O. Zur casuistic der ovarialschwanger schaft. Arch Gynaekol 1878;13:73-5.
10. Howard WJ, John AR. Ectopic pregnancy. Te Linde’s Operative Gynecology. 11th ed. South Asian Edition: Wolters Kluwer; 2015:790-2.
11. Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Ovarian pregnancies: Revaluation of diagnostic criteria. J Gynecol Obstet Biol Reprod. 2002; 31(8):741-6.
12. Portundo JA, Ochoa C, Gomez BJ, Uribaron A. Fertility and conception of 8 patients with ovarian pregnancy. Int J Fertil. 1984;29:254.
Published
2016-03-23
Issue
Section
Case Reports
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