scholarly journals A Case of Ovarian Pregnancy Diagnosed by MRI

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama
Keyword(s):  
Ectopic Pregnancy ◽  
High Intensity ◽  
Transvaginal Ultrasonography ◽  
Mr Images ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Low Intensity ◽  
Ovarian Pregnancy ◽  
Gestational Sac ◽  
The Right

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

scholarly journals OVARIAN PREGNANCY ON THE BACKGROUND OF THE USE OF INTRAUTERINE SPIRALS (A CLINICAL CASE)

2018 ◽  
Vol 14 (2) ◽  
pp. 96-99
Author(s):  
A. V. Dovgopolyy ◽  
Yu. V. Popov ◽  
N. S. Vanke ◽  
A. G. Kedrova ◽  
L. M. Kaganovskaya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Tubal Pregnancy ◽  
Transvaginal Ultrasonography ◽  
Diagnostic Problem ◽  
Rare Form ◽  
Ovarian Pregnancy ◽  
The Right ◽  
Fertilized Egg

Ovarian pregnancy is a rare form of ectopic pregnancy, which causes a great diagnostic problem. One of the important risk factors for the development of ovarian pregnancy is the use of intrauterine spirals. The article presents the clinical case of ovarian pregnancy in a 35-yearold woman who underwent an implantation of fertilized egg in the ovary against the background of the vitreous spiral. Transvaginal ultrasonography showed the presence of echogenic formation in the right ovary, in the absence of data for tubal pregnancy.

scholarly journals Cornual pregnancy-an unusual site of pregnancy: a case report and literature review

2019 ◽  
Vol 10 (1) ◽  
pp. 64-67
Author(s):  
Tanzeem S Chowdhury ◽  
Homaira Hasan ◽  
TA Chowdhury
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Cavity ◽  
Uterine Wall ◽  
Unusual Presentation ◽  
Cornual Pregnancy ◽  
Diagnostic Challenge ◽  
Unusual Site ◽  
Rare Type ◽  
Interstitial Pregnancy ◽  
Gestational Sac

Ectopic pregnancy is a condition where gestational sac is located outside the uterine cavity. Cornual pregnancy, also known as interstitial pregnancy, is a rare type of ectopic pregnancy that develops in the interstitial portion of the fallopian tube and invades through the uterine wall. It poses great diagnostic challenge because of its unusual presentation and late diagnosis. Cornual pregnancy, if not diagnosed early, may present with massive and uncontrollable bleeding even leading to maternal death. We hereby report an unusual presentation of cornual pregnancy which was diagnosed and subsequently managed successfully. Birdem Med J 2020; 10(1): 64-67

scholarly journals Ovarian Pregnancy following Intracytoplasmic Sperm Injection and Embryo Transfer: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Amar Ramachandran ◽  
Swati Sharma ◽  
Kumar Pratap ◽  
Bhakta Rajesh ◽  
Vasudeva Akhila ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Embryo Transfer ◽  
Successful Treatment ◽  
Intracytoplasmic Sperm Injection ◽  
Ovarian Tissue ◽  
Rare Form ◽  
Ovarian Pregnancy

Ovarian pregnancy is a rare form of ectopic pregnancy following ICSI-ET, and the diagnosis depends on the physicians suspicion and experience. Preservation of ovarian tissue during surgery is of utmost importance to preserve fertility. We present a case of ovarian pregnancy who had a successful treatment preserving the ovary.

scholarly journals Case Report of Spontaneous Bilateral Ovarian Pregnancy in a Nulliparous Lady

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Abdulrahman D. Mahroofi ◽  
Jawaher K. Alsaqer ◽  
Nawal Saad Alabdulla ◽  
Rihab Ismael ◽  
Stephanie Hsu ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Iliac Fossa ◽  
Specific Patient ◽  
Ovarian Pregnancy ◽  
Products Of Conception ◽  
History Of ◽  
Laboratory Investigations ◽  
Us Findings ◽  
Ectopic Pregnancies ◽  
The Right

Nontubal ectopic pregnancies, especially ovarian ones, are rare. Here, we report a case of spontaneous bilateral ovarian pregnancy in a 23-year-old nulliparous lady who presented with a three-day history of abdominal pain localized to the right iliac fossa. Laboratory investigations and pelvic US and transvaginal US findings were suggestive of a right ovarian ectopic pregnancy and left ovarian cyst. Following the patient’s consent, the gynaecologist laparoscopically removed the right ovarian ectopic pregnancy and performed a left ovarian cystectomy. Histopathology revealed findings of trophoblastic tissue and chorionic villi with products of conception in both ovaries leading to the diagnosis of bilateral spontaneous ectopic pregnancy. Physicians must be mindful in cases that have a similar clinical presentation because an early diagnosis leads to a reduction in the morbidity and mortality of this specific patient population and helps to improve their overall prognosis.

scholarly journals Ovarian Pregnancy

2019 ◽  
Vol 3 (2) ◽  
pp. 142-150
Author(s):  
Widayat Widayat ◽  
Ariadi Ariadi
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Ovarian Cyst ◽  
Ultrasound Examination ◽  
First Trimester ◽  
Tubal Ectopic Pregnancy ◽  
Ovarian Pregnancy ◽  
Normal Limits ◽  
Laparoscopic Intervention ◽  
The Right

Objective: To report cases of ovarian pregnancyMaterials and Methods: This article describes a case report of a 33 year old woman, with a diagnosis of Ovarian Pregnancy at 6-7 weeks gravid G2P0A1H0. The patient came to the emergency room Dr. M. Djamil Padang. The ultrasound examination gives the impression of an ectopic pregnancy in the right ampulla tube. After laparoscopy, an ectopic pregnancy was seen in the right ovary without bleeding. Right ovarian pregnancy impression. Partial Oophorectomy was performed and tissue evacuation with bleeding during the procedure ± 30 cc.Results: Patients receiving laparoscopic intervention showed an ectopic pregnancy in the right ovary without bleeding, the left ovary was within normal limits. Right ovarian pregnancy impression. Partial Oophorectomy was performed and tissue evacuation with bleeding during the procedure ± 30 cc. The tissue was examined for histology of anatomic pathology.Conclusion: Ovarian pregnancy is one of the rarest forms of ectopic pregnancy, it is sometimes difficult to diagnose because it can be confused with tubal ectopic pregnancy or hemorrhagic ovarian cyst. Pregnancy ovaries can rupture in the first trimester of pregnancy.Keywords: Ovarian Pregnancy, Laparoscopy, Partial Oophorectomy

scholarly journals Advances in the Diagnosis and Management of Ovarian Ectopic Pregnancy: A Short Review

2021 ◽  
Vol 2 (1) ◽  
pp. 38-42
Author(s):  
Kunal Rathod
Keyword(s):  
Magnetic Resonance Imaging ◽  
Ectopic Pregnancy ◽  
Short Review ◽  
Resonance Imaging ◽  
Medical Treatments ◽  
Clinical Symptomatology ◽  
Ovarian Pregnancy ◽  
Contraceptive Devices ◽  
Beta Human Chorionic Gonadotropin ◽  
Gestational Sac

The ovarian ectopic pregnancy OPE is one of the most serious and rarest types of extra-uterine pregnancy, where the implantation of the gestational sac occurs in the ovum. Given the rarity of this condition, in addition to the accompanied morbidity, the risk of their complications, and even death, early diagnosis and treatment are crucial. Its diagnosis is not easy and relies on criteria based on preoperative findings, with poor clinical symptomatology and a difficult ultrasound diagnosis. Its management of choice remains surgical therapy despite the progress in medical treatments with fertility preservation. Patients’ symptomatology, radiological and lab findings, addition to her obstetric history and desire for future procreation must also be taken into consideration. Keywords: Ectopic pregnancy; ovarian pregnancy; Treatment; Diagnosis. Abbreviations B-hCG: Beta-Human Chorionic Gonadotropin; EP: Ectopic Pregnancy; HP: Heterotopic Pregnancy; IUCD: Intra-utérine Contraceptive Devices; IUDs: Intra-Utérine Devices; MRI: Magnetic Resonance Imaging; MTX: Methotrexate; OPE: Ovarian Ectopic Pregnancy; PID: Pelvic Inflammatory Disease; TV-US: Transvaginal Ultrasonography.

scholarly journals A case report on ruptured interstitial ectopic pregnancy: diagnostic dilemma

2019 ◽  
Vol 8 (6) ◽  
pp. 2567
Author(s):  
Suman S. Sharma ◽  
A. V. Gokhale ◽  
Shonali Agrawal
Keyword(s):  
Ectopic Pregnancy ◽  
Broad Ligament ◽  
Rare Event ◽  
Uterine Cavity ◽  
Fallopian Tubes ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
Gestational Sac ◽  
Interstitial Ectopic Pregnancy

The ectopic pregnancy occurs when implantation of the blastocyst takes place in a site other than the endometrium of the uterine cavity. Interstitial ectopic pregnancies are gestations that implant within the proximal, intramural portion of the fallopian tubes with high vascularity. Ectopic pregnancy in the interstitial part of the fallopian tubes can be life-threatening considering the thin myometrial tissue surrounding the gestational sac and high vascularization which may result in catastrophic haemorrhage when interstitium is ruptured. Being a hazardous type of ectopic pregnancy, it becomes extremely important to diagnose and manage it. This condition presents a challenge for clinical as well as radiological diagnosis. Generally, a case of interstitial ectopic pregnancy has typical radiological features distinguishing it from other ectopic. The ultrasonographic finding of interstitial line has better sensitivity (80%) and specificity (98%) than eccentric gestational sac location (sensitivity, 40%; specificity, 88%) and myometrial thinning (sensitivity, 40%; specificity, 93%) for the diagnosis of interstitial ectopic pregnancy. Ultrasound is the mainstay of diagnosis, but magnetic resonance imaging can be helpful in unusual or complicated cases. Interstitial ectopic pregnancy rupturing into the leaves of broad ligament and creating a tamponade effect to alter the clinical presentation is a rare event which presents as a diagnostic challenge. Here authors present a case of ruptured interstitial ectopic pregnancy confined to the leaves of broad ligament, with atypical presentation and radiological features which led to difficulty in diagnosing the interstitial ectopic pregnancy. After laparoscopic confirmation of ruptured interstitial ectopic pregnancy, the patient was managed successfully by laparoscopic cornual resection.

scholarly journals Successful pregnancy and term delivery after treatment of unicornuate uterus with non-communicating rudimentary horn pregnancy with local methotrexate injection followed by laparoscopic resection: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Makiko Ueda ◽  
Kuniaki Ota ◽  
Toshifumi Takahashi ◽  
Satoshi Suzuki ◽  
Daisuke Suzuki ◽  
...  
Keyword(s):  
Blood Flow ◽  
Laparoscopic Surgery ◽  
Ectopic Pregnancy ◽  
Uterine Horn ◽  
Elective Cesarean Section ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Rudimentary Uterine Horn ◽  
Gestational Sac ◽  
The Right

Abstract Background Pregnancy in a rudimentary horn is an extremely rare type of ectopic pregnancy. A rudimentary uterine horn pregnancy is associated with a risk of spontaneous rupture and bleeding during surgery due to the increased uterine blood flow. Recent advances in imaging modalities have enabled laparoscopic surgery to be performed in cases without rupture in the early stages of pregnancy. However, there are few reports of successful pregnancies and deliveries after treatment of rudimentary horn pregnancies. We report the successful management of a case of non-communicating rudimentary horn pregnancy by local injection of methotrexate followed by complete laparoscopic excision along with a review of the literature. Case presentation The patient was a 29-year-old Japanese woman, gravida 2, nullipara. She was diagnosed with a left unicornuate uterus with a right non-communicating rudimentary horn on hysterosalpingography and magnetic resonance imaging. A gestational sac with a heartbeat was observed in the right rudimentary uterine horn at 6 weeks of gestation. A diagnosis of ectopic pregnancy in a non-communicating rudimentary horn was made. Color Doppler detected multiple blood flow signals around the gestational sac, which were clearly increased compared to the left unicornuate uterus. Her serum human chorionic gonadotropin level was 104,619 mIU/ml. A 100 mg methotrexate injection into the gestational sac was administered, and laparoscopic surgery was performed on day 48 after the methotrexate treatment. The right rudimentary horn and fallopian tube were successfully excised with minimal bleeding. A spontaneous normal pregnancy was established 6 months after the surgery. The pregnancy was uneventful, and a baby girl was born by elective cesarean section at 38w0d. Conclusion Combined local methotrexate injection and laparoscopic surgery are safe treatment options for patients with a unicornuate uterus with a non-communicating rudimentary horn pregnancy.

scholarly journals Interstitial Pregnancy a Rare form of Ectopic Pregnancy: Case Report

2018 ◽  
Vol 24 (3) ◽  
pp. 167 ◽  
Author(s):  
Mohannad AbuFaza ◽  
Ibrahim A. Abdelazim
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Cavity ◽  
Rare Form ◽  
Interstitial Pregnancy ◽  
Good General Condition ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Cervical Motion

<p>Interstitial pregnancy is a rare variety of ectopic pregnancy, it can have disturbed 8-16 weeks of amenorrhea (later than the distal tubal ectopic pregnancy), due to the dispensability of the myometrium covering the interstitial segment of the fallopian tube, with subsequent massive internal hemorrhage.<br />A 29-years-old female, Gravida 3, Para 2, presented with severe abdominal pain, vomiting, and syncope 3 days after her missing period, and positive pregnancy test. Trans-vaginal ultrasound showed empty uterine cavity, free pelvic fluid with severe cervical motion tenderness. She was diagnosed with ruptured ectopic pregnancy. Ruptured ectopic pregnancy in the proximal segment of right fallopian tube was confirmed with laparotomy.<br />The ruptured pregnancy was managed by right salpingectomy, and hemostatic stitches at the right uterine corn. Her hemoglobin was 8 gr on admission, and she received 3 units of packed RBCs (one intra-operative, and two post-operative). Her post-operative hemoglobin was 10.5 gr, and she was discharged from the hospital on the 3rd post-operative day in good general condition for follow up in the outpatients` department. <br />This case report represents a rare variety of ectopic pregnancy, which is the interstitial pregnancy, because it can rupture few days or weeks after the missed period with subsequent massive internal hemorrhage. <br />Interstitial pregnancy is a rare form of ectopic pregnancy, the obstetricians should be aware of rare forms of ectopic pregnancies, it can have disturbed few days or weeks after the missed period leading to subsequent significant morbidity.</p>

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