Conservative treatment of ovarian pregnancy by local prostaglandin F2α injection

Koike, Hiroyuki; Chuganji, Yoshiaki; Watanabe, Hiroyuki; Kaneko, Masatoki; Noda, Shunichi; Môri, N.

doi:10.1016/0002-9378(90)91260-j

Cited by 12 publications

(8 citation statements)

References 4 publications

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“…More conservative treatment has been advised, particularly ovarian wedge resection 1 . Medical treatments in the form of methotrexate 4 and local prostaglandin 5 have been used. Recently laparoscopic surgery with a laser 2 has been successfully used to resect an ovarian ectopic .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of ovarian ectopic pregnancy

Guirguis

2000

Gynaecol Endoscopy

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A case of a young nulliparous patient with slight vaginal bleeding after a short period of amenorrhoea is presented. During laparoscopy, a haemorrhagic mass was seen, bulging from the right ovary, which was thought to be an ovarian ectopic pregnancy. The mass was successfully excised laparoscopically. Subsequent histological examination confirmed the diagnosis. Laparoscopic surgery is a simple, safe and effective method of treating suitable cases of ovarian ectopic pregnancy. Minimal tissue handling during laparoscopic surgery would maximize future reproductive function.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of ovarian ectopic pregnancy

Guirguis

2000

Gynaecol Endoscopy

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“…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%

“…3,5,9,10 Koike et al (1990) reported the first case of an unruptured ovarian pregnancy treated by local injection of 0.5 mg prostaglandin-F2a, with an additional dose of 1.5 mg of prostaglandin-E2 administered orally for 14 postoperative days. 3 In other cases of small, unruptured tubal pregnancies methotrexate has been administered by intramuscular injection of 50 mg m ¹2 . 2,6 The use, with varying success, of the antiprogesterone mifepristone (RU 486) or the infusion of hyperosmolar glucose have been reported.…”

Section: Therapeutic Possibilitiesmentioning

confidence: 99%

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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“…It is quite usual to perform cystectomy using laparoscopic techniques [1]. Treatment with methotrexate or prostaglandin injection has also been reported [5,6].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic management of consecutive ovarian pregnancy in a patient with infertility

Terzić¹,

Štimec²,

Maricic³

2001

Zentralbl Gynakol

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The diagnosis of ovarian pregnancy is based on the improper rise of serum beta-hCG levels, sonographic findings of an empty uterus, highly characteristic ovarian formation with double hyperechogenic ring surrounding small hypoechogenic field, and the laparoscopic verification of Spiegelberg's criteria. We present a case of ovarian pregnancy in spontaneous cycle in 34-year-old woman following two unsuccessful IVF/ET procedures and ovarian pregnancy on contralateral side laparoscopically treated seven months ago, also achieved in non-stimulated, spontaneous cycle. On admission she had a serum hCG level of 596 mIU/mL on cycle day 46 and an empty uterus. Transvaginal sonography showed a 20 mm ring-like thick-walled hyperechogenic structure within the left ovary. The echogenic ring was surrounded by irregular, hypoechogenic structures suggestive of an ovarian pregnancy with periluteal hemorrhage and blood clots. The ruptured cystic ovarian pregnancy and the corpus luteum were removed by laparoscopy. During the procedure we have seen two clips on the right ovary placed laparoscopically to achieve hemostasis after rupture of the ovarian pregnancy seven months ago. Histopathology showed isolated chorionic villi within hemorrhagic areas in the vicinity of the corpus luteum.

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Conservative treatment of ovarian pregnancy by local prostaglandin F2α injection

Cited by 12 publications

References 4 publications

Laparoscopic treatment of ovarian ectopic pregnancy

Laparoscopic treatment of ovarian ectopic pregnancy

Combined ovarian and uterine pregnancy

Laparoscopic management of consecutive ovarian pregnancy in a patient with infertility

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