Diagnostic Dilemma in Ovarian Pregnancy: A Case Series

The Diagnosis and Treatment of Ectopic Pregnancy

“…According to Begum et al, ovarian pregnancy (2%) is the most common kind of non-tubal extrauterine pregnancy (40). Despite the high sensitivity of vaginal ultrasonography for extrauterine pregnancy, the diagnosis of ovarian pregnancy is often only made at surgery and may…”

Ovarian Ectopic Pregnancy: A Clinical Analysis

“…It can be categorized into primary and secondary classifications wherein primary OEP usually occurs due to ovulatory dysfunction and the ovum is fertilized while still within the follicle, before the follicle being expelled from the ovary. 3 Secondary OEP occurs when fertilization takes place within the fallopian tube and the conceptus is regurgitated and implanted in the ovarian stroma. 3 OEP can also be further characterized into intrafollicular and extrafollicular.…”

“…3 Secondary OEP occurs when fertilization takes place within the fallopian tube and the conceptus is regurgitated and implanted in the ovarian stroma. 3 OEP can also be further characterized into intrafollicular and extrafollicular. 3 Intrafollicular OEP, also called failure of follicular expulsion, occurs when the ovum is fertilized within the follicle inside of the ovary and is very rare.…”

“…2 The incidence ranges from 1 in 7,000 to 1 in 40,000 live births. 3 Since the first ever reported case made by Saint Maurice of France in 1682, 4 the incidence of OEP continues to increase.…”

A Narrow Escape From Methotrexate: The Importance of Correlating Ultrasound Findings With Discriminatory Level of β‐hCG and the β‐hCG Ratio

“…5 It is not uncommon to encounter patients being operated on with a misdiagnosis of tubal ectopic pregnancy due to a benign cyst. 6,7 Therefore, before opting for methotrexate, it is important to correlate the ultrasound finding with the "discriminatory zone" of β-hCG. If a patient is hemodynamically stable and asymptomatic, a β-hCG ratio (ie, 48-hour hCG to 0-hour hCG) should be done.…”