Volume 12, Issue 4 (5-2014)                   IJRM 2014, 12(4): 281-0 | Back to browse issues page

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Ghasemi Tehrani H, Hamoush Z, Ghasemi M, Hashemi L. Ovarian ectopic pregnancy: A rare case. IJRM. 2014; 12 (4) :281-0
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-524-en.html
1- Department of Obstetrics and Gynecology, Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
2- Research Office of Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran , md_ghasemi@yahoo.com
Abstract:   (915 Views)
Background: Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. It ends with rupture before the end of the first trimester. One of the important risk factors for ovarian pregnancy is in the use of Intra uterine devices (IUD).
Case:  We report here one such uncommon case of ovarian ectopic pregnancy. Our patient is a 30 years old multiparous woman with two previous cesarean sections with severe hypogastric abdominal pain. During laparotomy, ruptured ovarian ectopic pregnancy was diagnosed, and wedge resection of the ovary was only done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy.
Conclusion:  IUD is one of contraceptive methods which prevents intra-uterine implantation in 99.5%, if implant occurs with IUD, it is tubal implantation in 95% of cases, and it is very rare in other places such as ovary. The most important risk factor of ovarian ectopic pregnancy is IUD as in this study it was showed
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Type of Study: Original Article |

1. Fritz MA, Speroff L, Clinical Gynecologic Endocrinology and infertility. 8th Ed. Philadelphia; 2011: 1409.
2. Shrestha A, Chawla CD, Shrestha RM. Ruptured primary ovarian pregnancy: a rare case report. Kathmandu Univ Med J 2012; 10: 76-77.
3. Scutiero G, Di Gioia P, Spada A, Greco P. Primary ovarian pregnancy and its management. JSLS 2012; 16: 492-494. [DOI:10.4293/108680812X13462882736385]
4. Odejinmi F, Rizzuto MI, MacRae R, Olowu O, Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol 2009; 16: 354-359. [DOI:10.1016/j.jmig.2009.01.002]
5. Hallet JG .Primary ovarian pregnancy. A case report of twenty five cases. Am J Obstet Gynecol 1982; 143(1): 55-60. [DOI:10.1016/0002-9378(82)90683-4]
6. Grimes H, Nosal RA, Gallagher JC. Ovarian pregnancy. A series of 24 cases. Obstet Gyncol 1983; 61: 174-180.
7. Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Ectopic pregnancy. Williams Obstetrics. 23rd Ed. Mc Graw Hill; 2010: 251.
8. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod 2002; 17: 3224-3230. [DOI:10.1093/humrep/17.12.3224]
9. Gerin-Lajoie L. Discussion of Gerin-Lojoie L. Ovarian pregnancy. Am J Obstet Gynecol 1951; 62: 920. [DOI:10.1016/0002-9378(51)90179-2]
10. Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Grossesses ovariennes: réévaluation des critères diagnostiques. J Gynecol Obstet Biol Reprod (Paris) 2002; 31: 741-746.
11. Mehmood SA, Thomas JA. Primary ectopic ovarian pregnancy, report of three cases. J Postgrad Med 1985; 31: 219-222.
12. Ercal T, Cinar O, Mumcu A, Lacin S, Ozer E. Ovarian pregnancy; relationship to an intrauterine device. Aust N Z J Obstet Gynaecol 1997; 37: 362-364. [DOI:10.1111/j.1479-828X.1997.tb02434.x]
13. Bouyer J, Rachou E, Germain E, Fernandez H, Coste J, Pouly JL, et al. Risk factors for extrauterine pregnancy in women using an intrauterine device. Fertil Steril 2000; 74: 899-908. [DOI:10.1016/S0015-0282(00)01605-8]
14. Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol 2005; 105: 42-45. [DOI:10.1097/01.AOG.0000148271.27446.30]
15. Ghi T, Banfi A, Marconi R, Iaco PD, Pilu G, Aloysio DD, et al. Three dimensional sonographic diagnosis of ovarian pregnancy. Ultrasound Obstet Gynecol 2005; 26: 102-104. [DOI:10.1002/uog.1933]
16. Raziel A, Golan A, Pansky M, Ron-El R, Bukovsky I, Caspi E. Ovarian pregnancy: a report of twenty cases in one institution. Am J Obstet Gynecol 1990; 163: 1182-1185. [DOI:10.1016/0002-9378(90)90685-Z]
17. Herbertsson G, Magnusson SS, Benediktsdottir K. Ovarian pregnancy and IUCD use in a defined complete population. Acta Obstet Gynecol Scand 1987; 66: 607-610. [DOI:10.3109/00016348709022065]
18. Cabero A, Laso E, Lain JM, Manas C, Escribano I, Calaf J. Increasing incidence of ovarian pregnancy. Eur J Obstet Gynecol Reprod Biol 1989; 31: 227-232. [DOI:10.1016/0028-2243(89)90157-3]
19. Ciortea R, Costin N, Chiroiu B, Malutan A, Mocan R, Hudacsko A, et al. Ovarian pregnancy associated with pelvicadhesions. Clujul Med 2013; 86: 77-79.
20. Sandvier Sandstad E, Steir JA. Ovarian pregnancy associated with intrauterine contracepyive device. Acta Obstet Gynecol Scand 1987; 66: 137-41. [DOI:10.3109/00016348709083035]
21. Joseph RJ, Irvine LM. Ovarian ectopic pregnancy: aetiology, diagnosis, and challenges in surgical management. J Obstet Gynaecol 2012; 32: 472-474. [DOI:10.3109/01443615.2012.673039]
22. Mehra S, Negi H, Hotchandi M. Rare case of Ovarian pregnancy managed by laparascopy: A case report. JK Sci 2003; 5: 29-30
23. Hassan S, Arora R, Bhatia K. Primary ovarian pregnancy: case report and review of literature. BMJ Case Rep 2012; 2012: bcr2012007112.
24. Patel Y, Wanyonyi SZ, Rana SF. Laparascopic management of an ovarian ectopic pregnancy: case report. East Afr Med J 2008; 85: 201-204. [DOI:10.4314/eamj.v85i4.9645]
25. Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol 2005; 105: 42-45. [DOI:10.1097/01.AOG.0000148271.27446.30]
26. Di Luigi G, Patacchiola F, La Posta V, Bonitatibus A, Ruggeri G, Carta G. Early ovarian pregnancy diagnosed by ultrasound and successfully treated with multidose methotrexate. A case report. Clin Exp Obstet Gynecol 2012; 39: 390-393.
27. Nadarajah S, Sim LN, Loh SF. Laparscopic management of an ovarian pregnancy. A case report. Singapore Med J 2002; 43: 95-96.
28. Koo YJ, Choi HJ, Im KS, Jung HJ, Kwon YS. Pregnancy outcomes after surgical treatment of ovarian pregnancy. Int J Gynecol Obstet 2011; 11: 97-100. [DOI:10.1016/j.ijgo.2011.02.013]
29. Resta S, Fuggetta E, D'Itri F, Evangelista S, Ticino A, Porpora MG. Rupture of Ovarian Pregnancy in a Woman with Low Beta-hCG Levels. Case Rep Obstet Gynecol 2012: 213169. [DOI:10.1155/2012/213169]

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