Combined intrauterine and ovarian pregnancy mimicking ovarian malignant tumor: imaging findings.

Kuhl, Christiane K.; Heuck, A.; Kreft, B; Luckhaus, S; Reiser, M; Schild, H

doi:10.2214/ajr.165.2.7618559

Cited by 14 publications

(12 citation statements)

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“…An ovarian HP is a rare diagnosis with few reported cases. We reviewed the literature and only “5” cases of ovarian HP were spontaneous [7], while most of them were following clomiphene or ART use [8] (Table 1); HP may be considered, in fact, a consequence of modern reproductive medicine. Whereas the frequency of spontaneous HP varies from 1 : 10,000 to 1 : 50,000, the wide-spread use of ART may increase its incidence at nearly 1% in some series.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report

Cesare²,

Quagliozzi³

et al. 2012

Case Reports in Obstetrics and Gynecology

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Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. The occurrence of an ovarian heterotopic pregnancy is a singular event as it comprises only 2.3% of all heterotopic pregnancies, extremely rare among women who conceive naturally. A case of a 28-year old patient was treated for spontaneously conceived heterotopic pregnancy. The patient was admitted to our center with lower abdominal pain and amenorrhoea. A transvaginal ultrasound scan showed an ovarian and an intrauterine heterotopic pregnancy. This was managed laparoscopically. Considering spontaneous pregnancies, every physician treating women of reproductive age should be aware of the possibility of heterotopic pregnancy. It can occur in the absence of any predisposing risk factors; only with an early diagnosis and treatment the intrauterine pregnancies will reach viability with a great chance of a favorable obstetric outcome.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report

Cesare²,

Quagliozzi³

et al. 2012

Case Reports in Obstetrics and Gynecology

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“…However, the increase of in vitro fertilization methods as a consequence of possible tubal dysfunction could also be seen as a cause of ectopic pregnancy 4 ,. 8 In the present case, the patient had been treated once with clomiphene by her gynaecologist to help bring about the pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…The rarity of such heterotopic pregnancies presents difficulties in diagnosis. Besides the usual determination of β‐hCG levels in the patient's serum or urine, each suspicious ovarian cystic structure should be investigated very meticulously because of its possibly malignant character 4 . Elevated serum levels of CA 125 help in the differential diagnosis, especially when no exact diagnosis can be found by pelviscopy.…”

Section: Discussionmentioning

confidence: 99%

“…In spite of the use of endovaginal colour Doppler sonography to differentiate benign and malignant tumours of the ovary, exact diagnosis may be very difficult in some cases 2 ,. 4 , 5 In most cases with atypical abdominal symptoms, a pelviscopic intervention may help to clear the situation. The astonishing aspect in this case was the lack of symptoms the patient showed 3 weeks after curettage of an intrauterine pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Only a few cases are described in the literature. [1][2][3][4][5][6][7] Overall, 0.1% of all pregnancies have an ectopic location. The incidence of the classic form of ovarian pregnancy is described in the literature as being 1:25 000 to 1:40 000 of all pregnancies.…”

Section: Discussion Frequencymentioning

confidence: 99%

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Combined ovarian and uterine pregnancy

et al. 1998

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Objective We report a case of combined ovarian and intrauterine pregnancy successfully treated by pelviscopy after spontaneous abortion of the intrauterine pregnancy. We discuss the frequency, pathogenic aspects, diagnostic management and therapeutic possibilities of such a rare type of ectopic pregnancy. Subject A 25‐year‐old primigravida, who had conceived after ovarian stimulation with clomiphene, came to our hospital 3 weeks after curettage of the uterine cavity for an incomplete abortion. An ovarian pregnancy was suspected on transvaginal sonography and this diagnosis was confirmed histologically after pelviscopic treatment. Conclusion Minimally invasive diagnostic and therapeutic management of ectopic pregnancy in early pregnancy should be employed for confirmation of the diagnosis of such a rare combination of intrauterine and ovarian pregnancy. We propose that our surgical management has a high degree of safety for the patient and involves lower hospitalization costs.

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Features of the hypointense solid lesions in the female pelvis on T2‐weighted MRI

Park

2014

Magnetic Resonance Imaging

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Most solid lesions in the female pelvis appearing hyperintense on T2-weighted images should be interpreted as malignant. In contrast, if the solid lesions in the female pelvis appear hypointense on T2-weighted images they may be benign. The characteristic imaging features of hyperintense solid lesions in the female pelvis on T2-weighted images are well known, but various unusual causes and imaging features of hypointense solid lesions in the female pelvis on T2-weighted images can be particularly misleading. Therefore, careful assessment of hypointense solid lesions in the female pelvis on T2-weighted images is warranted. In this article, we demonstrate a variety of hypointense solid lesions in the female pelvis on T2-weighted images. Familiarity with the clinical setting and imaging features of hypointense solid lesions in the female pelvis on T2-weighted images will facilitate prompt, accurate diagnosis and treatment.

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Combined intrauterine and ovarian pregnancy mimicking ovarian malignant tumor: imaging findings.

Cited by 14 publications

References 0 publications

Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report

Spontaneous Heterotopic Pregnancy, Simultaneous Ovarian, and Intrauterine: A Case Report

Combined ovarian and uterine pregnancy

Features of the hypointense solid lesions in the female pelvis on T2‐weighted MRI

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