Ovarian Ectopic Pregnancy: A Clinical Analysis

Abstract

Ovarian ectopic pregnancy is a rare form of ectopic pregnancy and constitutes approximately 3% of all ectopic cases. Its presentation mimics the symptoms of tubal ectopic pregnancy and can be difficult to distinguish based on ultrasound imaging and presentation alone. Laparoscopic management is required for definitive diagnosis and treatment. Identifying these emergent cases early is imperative because of the high risk of maternal death. The nurse practitioner should consider this emergent diagnosis in all women of childbearing age who present to the emergency department with acute lower abdominal pain.

Persistent gestational trophoblastic disease following ovarian molar pregnancy: A case report of a rare entity with review of the literature

“…An ovarian molar pregnancy presents with a clinical picture similar to tubal pregnancy but seldom presents with symptoms of molar pregnancy. 2,3,5 Our patient also presented with a feature suggestive of tubal ectopic pregnancy. Among ectopic molar pregnancies, only 16% occurred in the ovary.…”

“…An ovarian pregnancy is rare and accounts for 3% of all ectopics. 3 Its pre-surgical diagnosis is difficult, and even ultrasonography or transvaginal sonography can misdiagnose it for tubal pregnancy, hemorrhagic corpus luteum, or an ovarian cyst. 5 Our case was operated on with a provisional diagnosis of ruptured tubal ectopic based on clinical and USG findings.…”

“…Diagnosis and treatment is usually done laparoscopically or on laparotomy while the diagnosis is confirmed only by histopathology. 3 Careful Beta Human Chorionic Gonadotrophin (β-hCG) surveillance is necessary to detect progression to persistent gestational trophoblastic disease (GTD). The persistent GTD is when women retain some molar tissue despite being treated to remove it and occurs in about 8% of women with molar pregnancy.…”

“…Patients usually present with symptoms of conventional ectopic pregnancy, 1,2 and it is difficult to differentiate based on presentation and ultrasonography alone. Diagnosis and treatment is usually done laparoscopically or on laparotomy while the diagnosis is confirmed only by histopathology 3 …”

Risk factors, clinical presentation and management of ectopic pregnancy in a rural tertiary care centre- An observational study

“…A history of dilation and curettage has been associated with subsequent ectopic pregnancy in nearly 70% of cases according to study done by Panelli et al whereas in the present study it was seen in only 7 patients i.e 7.7%. 21 An intrauterine contraceptive device (IUCD) is the most significant risk factor, accounting for 57% to 90% of patients with ectopic pregnancy according to Sotelo et al 22 According to Marion et al and Benagiano et al, in women with IUCD who became pregnant, 50% of such cases were ectopic. 23,24 However, in the present study, IUCD insertion history was present in only 1 patient.…”