Clinical analysis of ovarian pregnancy: a report of 49 cases

Choi, Ho Lim; Im, Kyong-Shil; Jung, Harald; Lim, Kyung-Taek; Mok, Jung Eun; Kwon, Young-Soon

doi:10.1016/j.ejogrb.2011.04.015

Cited by 46 publications

(48 citation statements)

References 13 publications

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“…Four patients had a history of pelvic inflammatory disease, and only 2 patients had used an IUD. Huge uterine myoma was found in 2 cases, bicornuate uterus was found in 1 case, and arcuate uterus was found in 1 case (20). Our patient had ectopic pregnancy and caesarean section as risk factors.…”

Section: Discussionmentioning

confidence: 90%

“…Our patient had ectopic pregnancy and caesarean section as risk factors. According to the above-mentioned study the most common complaints are abdominal pain (42.9%) and vaginal bleeding (28.6%) (20). The pain is generally nonspecific during early gestation and becomes worse as the pregnancy advances, sometimes culminating in cases of acute abdomen due to rupture of the gestational sac and placental disruption, resulting in haemoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

“…However, as the pregnancy grows, without any suspicion and meticulous examination, a diagnosis of advanced ovarian pregnancy probably can be missed easily. Some authors even argue that ovarian pregnancy is unlikely to be diagnosed preoperatively due to its rarity, a lack of typical presenting symptoms, and a lack of known risk factors (20). Ultrasonography is the most often used non-invasive diagnostic imaging method in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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A 34-week ovarian pregnancy: case report and review of the literature

Meşeci¹,

Güzel²,

Zemherı³

et al. 2013

J Turkish German Gynecol Assoc

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Advanced ovarian pregnancy is a quite rare condition. Due to the high maternal and neonatal mortality rates, early and accurate diagnosis is vital. Lack of sufficient data led us to search the literature and compile available data on the topic. A 33-year-old woman presented with acute abdomen at 34 weeks of gestation. She underwent laparotomy, which revealed a live foetus surrounded by an intact amnion membrane located in the left adnexal area. The patient delivered a live female infant. Heavy bleeding from the placenta necessitated salpingo oophorectomy. Histological examination of the removed tissue confirmed the ovarian pregnancy. Because of the substantial risk of adverse outcomes, this condition should be borne in mind, especially in cases presenting with acute abdomen during pregnancy. (J Turkish-German Gynecol Assoc 2013; 14: 246-9) Key words: Abdominal pregnancy, ectopic pregnancy, ovarian pregnancy Received: 06 November, 2012 Accepted: 23 January, 2013 Available Online Date: 10 July, 2013 İkinci ve üçüncü trimester over gebeliği oldukça nadir bir durumdur. Yüksek maternal ve neonatal mortalite oranları nedeniyle erken ve doğru tanı konulması hayat kurtarıcıdır. Karşılaştığımız ender rastlanan olgu ve konu ile ilgili yeterli bilginin bulunmayışı bizi ikinci ve üçüncü trimester over gebeliği hakkındaki literatürü irdelemeye yöneltti. Otuz üç yaşında kadın hasta, gebeliğin otuz dördüncü haftasında akut abdomen bulgularıyla kliniğimize başvurdu. Laparatomide sol adneksial alanda intakt amniotik membran ile çevrili, içinde canlı fetusun bulunduğu ekstrauterin gebelik tespit edildi. Canlı bir kız bebek doğurtuldu. Plasental alandaki şiddetli kanama nedeniyle salpingo ooferektomi yapıldı. Histopatolojik sonuç over gebeliğiyle uyumlu bulundu. Özellikle ilk trimesterden sonra akut batın bulgularıyla başvuran hastalarda, ayırıcı tanıda over gebeliği akılda tutulmalıdır.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A 34-week ovarian pregnancy: case report and review of the literature

Meşeci¹,

Güzel²,

Zemherı³

et al. 2013

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

show abstract

“…Several case reports and small case series were obtained, with a wide variety in the presentation of these ovarian pregnancies, ranging from a small adnexal mass treated with methotrexate [13,14], the presence of an ovarian twin pregnancy [15], to a term ovarian pregnancy delivered via laparotomy [16]. The largest case series reported in the literature to date includes 49 cases over a period of thirteen years [17], emphasizing the fact that ovarian pregnancy alone is still a rare entity.…”

Section: Discussionmentioning

confidence: 99%

Concurrent ovarian and ipsilateral tubal ectopic pregnancies after a double embryo transfer: a case report

Sueldo

Budinetz

Maslow

et al. 2014

J Assist Reprod Genet

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“…In an analysis of 49 cases Choi et al found that the most common risk factors were endometriosis (16 patients) and a history of abdominal surgery (19 patients) 5 . Another study by Joseph et al showed fertility treatments (18.1%) and intrauterine contraceptive devices (19.3%) remain important associated risk factors 6 .…”

Section: Discussionmentioning

confidence: 99%