Rare case of Ovarian Ectopic Pregnancy
Keywords:
Ovarian pregnancy, Intra uterine devices, Laparotomy
Abstract
Ovarian pregnancy is a rare form of ectopic pregnancy. It constitutes to 1% of all ectopic pregnancies which usually ends with rupture before the end of the first trimester.We report here one such uncommon case of ovarian ectopic pregnancy. 38 years old P2L2 woman with one previous cesarean section and one VBAC with history of IUCD for 5 years presented with hypovolemic shock. During laparotomy, ruptured right ovarian ectopic pregnancywith 1.5 litres of haemoperitoneum was found , and wedge resection of the ovary was done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy.Intra uterine devices (IUD) is one of contraceptive methods which prevents intra-uterine implantation in 99.5%, if implant occurs with IUD, it is tubal implantation in 95% of cases, and it is very rare in other places such as ovary. The most important risk factor of ovarian ectopic pregnancy is IUD as in this study it was showed.References
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2. O. Spiegelberg, “Zur casuistic der ovarial Schwangerschft,” Archiv für Gynaekologie, 1873;13:73–76,
3. Hallet JG. Primary ovarian pregnancy. A case report of twenty five cases. Am J Obstet Gynecol.1982;143(1):55–60]
4. Grimes H, Nosal RA, Gallagher JC. Ovarian pregnancy. A series of 24 cases. Obstet Gyncol.1983;61:174–180.
5. S. Panda, L. M. Darlong, S. Singh, and T. Borah, “Case report of a primary ovarian pregnancy in a primigravida,” Journal of Human Reproductive Sciences, vol. 2, no. 2, pp. 90–92, 2009.
6. D. Jurkovic and D. Mavrelos, “Catch me if you scan: ultrasound diagnosis of ectopic pregnancy,”Ultrasound in Obstetrics and Gynecology, 2007;30:1–7,.
7. Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Am College Obstet Gynaecol 2005;105:42–5.
8. Sidek S Lai SF, Lim-Tan SK.Primary ovarian pregnancy: current diagnosis and management.Singapore med j 1994 Feb;35(1):71-3
Published
2016-06-15
Issue
Section
Case Reports
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