Primary ovarian pregnancy after the empty follicle syndrome: A case report

Abstract

A 32-year-old nulligravida woman underwent in vitro fertilization treatment because of 6 years of unexplained infertility. On the day of ovum pick-up, no eggs were retrieved and the patient was diagnosed to have empty follicle syndrome. Six weeks later, she presented with left lower abdominal pain and mild vaginal bleeding. Laboratory tests and diagnostic laparoscopy revealed left ovarian pregnancy. Left oophorectomy was performed and the histopathological examination confirmed the diagnosis.

A Case Of Ovarian Ectopic Pregnancy

“…Bir antite de boş folikül sendromudur. Yardımcı üreme teknikleriyle normal gelişim gösteren folikül ve östrojen seviyelerine rağmen olgun ovarian folikülden oosit elde edilememesi, tekrarlayan oosit aspirasyonları da ovarian gebelik nedeni olabilir (6). Semptom ve bulgular tubal ektopik gebelik ile benzerlik gösterir.…”

“…Tedavi prokolü tek doz metotreksat veya konsevatif cerrahiyi içermektedir. Laparotomi veya laparoskopik parsiyel ooferektomi sıklıkla tercih edilen yöntemdir (6). Ovaryal gebelik sonrasında fertilite değişmemektedir (5).…”

Case report of a primary ovarian pregnancy in a primigravida

“…[5] The entity, empty follicle syndrome, where no oocytes are retrieved from the mature ovarian follicles with apparently normal follicular development and estradiol levels, after controlled ovarian hyperstimulation for an assisted reproductive technology cycle, despite repeated aspiration and flushing, can also be a cause for primary ovarian pregnancy. [6]…”

Ectopic Pregnancy and Assisted Reproductive Technologies: A Systematic Review

“…The use of ultrasound for diagnosis of hemoperitoneum makes culdocentesis not necessary. Case reports presenting ovarian ectopic pregnancies present: 1) ovarian heterotopic pregnancy after IVF (Kamath et al, 2010), 2) bilateral ovarian pregnancy after IVF and previous tubal pregnancy after reanastomosis (Han et al, 2004), 3) left ovarian pregnancy after empty follicle syndrome in IVF treatment (Qublan et al, 2008), 4) ovarian pregnancy from cornual fistulae after bilateral salpingectomy and IVF treatment (Hsu et al, 2004).…”