scholarly journals Advanced ovarian pregnancy: an elusive diagnosis

2019 ◽  
Vol 8 (7) ◽  
pp. 2878
Author(s):  
Bhanupriya .
Keyword(s):  
Differential Diagnosis ◽  
Ectopic Pregnancy ◽  
Ovarian Cyst ◽  
Clinical Picture ◽  
Early Onset ◽  
Rare Case ◽  
Ovarian Tissue ◽  
First Trimester ◽  
Ovarian Pregnancy ◽  
Ectopic Pregnancies

Primary ovarian ectopic is a rare variant of ectopic pregnancies. It is commonly confused with tubal pregnancy aborted over ovary, hemorrhagic ovarian cyst, ruptured corpus luteal cyst. The women with ovarian ectopic generally presents early because of early onset hemorrhage in ovary. This is a rare case where woman with ectopic pregnancy presents at 13 weeks. The clinical picture is also highly unusual with just spotting and fainting attacks at the end of first trimester to make a diagnosis of ectopic pregnancy. The laparotomy done showed an unruptured ovarian ectopic pregnancy and with 350 cc hemoperitoneum. Salpingoopherectomy was done and the ectopic mass was removed as hardly any ovarian tissue was left to conserve the ovary. Hence, clinicians should be cautious enough to keep a differential diagnosis of ectopic even at advanced gestation.

scholarly journals A rare case of unruptured live second trimester ovarian ectopic pregnancy

2020 ◽  
Vol 9 (9) ◽  
pp. 3899
Author(s):  
Saroj Choudhary ◽  
Preksha T. Singh ◽  
Indra Bhati ◽  
R. K. Deora
Keyword(s):  
Ectopic Pregnancy ◽  
Rare Case ◽  
Treatment Guidelines ◽  
Histopathological Examination ◽  
First Trimester ◽  
Rare Entity ◽  
Second Trimester ◽  
Rare Presentation ◽  
Ovarian Pregnancy ◽  
Ectopic Pregnancies

Ovarian ectopic pregnancy is an extreme rare entity in all the cases of ectopic pregnancies. Before, the end of first trimester, it usually ends with rupture. It is such a unique and rare presentation that only 3% of all ectopic pregnancies are reported due to an ovarian cause. In this case report, authors have presented a patient with ovarian ectopic pregnancy which was found unruptured, live at the second trimester. The patient presented with abdominal pain and after routine check-up and ultrasound abdomen, patient was taken for an emergency explorative laparotomy and the ovarian pregnancy was excised and sent for histopathological examination, the histopathological examination further confirmed the diagnosis of the same. In some researches it has been seen that ovarian pregnancies are rising, considering that, the findings of the report may help frame future diagnostic and treatment guidelines. 

scholarly journals Ovarian Pregnancy- A Rare Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 183-185
Author(s):  
Sehereen Farhad Siddiqua ◽  
Sharmin Abbasi ◽  
Shifin Rijvi ◽  
Abrar Saqif Hasan
Keyword(s):  
Ectopic Pregnancy ◽  
Histopathological Examination ◽  
Wedge Resection ◽  
First Trimester ◽  
Medical College ◽  
Ovarian Pregnancy ◽  
Rare Case Report ◽  
Intraperitoneal Bleeding ◽  
Uncommon Case ◽  
Ectopic Pregnancies

Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. Primary ovarian ectopic pregnancy means  implantation of the gestational sac in the ovary. Its incidence after natural conception ranges from 1 in 2000 to 1  in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. It ends with rupture before the end of the  first trimester. The preoperative diagnosis of this type of pregnancy is not easy. It is characterized by a poor  clinical symptomatology and a difficult ultrasound diagnosis but confirmed by histological findings. For the  management, Conservative laparoscopic surgery involves ovarian resection or aspiration of the pregnancy with  coagulation of the implantation site. However, in case with profuse intraperitoneal bleeding an oophorectomy or  salpingo-oophorectomy may be necessary to achieve hemostasis. We report here one such uncommon case of  ovarian ectopic pregnancy. Our patient is a 27 years old nulliparous woman came with severe hypogastric pain.  During laparoscopy, 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. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 183-185

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

Ovarian Ectopic Pregnancy: A Rare Case Report

2016 ◽  
Vol 1 (1) ◽  
pp. 23-24
Author(s):  
HK Premi ◽  
Sonika Dahiya ◽  
Shabina Khan ◽  
Sana Amrin ◽  
Sugandh Srivastava
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Rare Case ◽  
Adnexal Mass ◽  
Emergency Laparotomy ◽  
Tubal Ectopic Pregnancy ◽  
Ovarian Pregnancy ◽  
Pain Abdomen ◽  
Rare Case Report ◽  
Ectopic Pregnancies

ABSTRACT Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. Ovarian ectopic pregnancy incidence after natural conception ranges from 1 in 2000 to 1 in 60,000 deliveries and accounts for 3% of all ectopic pregnancies. Here, we report a rare case of ruptured ectopic pregnancy. A 30 years old, G2P1+0L1 was admitted with amenorrhea of 1½ months and severe pain abdomen. Self urinary pregnancy test (UPT) was positive. Ultrasonography (USG) revealed it sided adnexal mass. Emergency laparotomy was done and a diagnosis of ovarian ectopic pregnancy was made. How to cite this article Dahiya S, Khan S, Premi HK, Amrin S, Srivastava S. Ovarian Ectopic Pregnancy: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):23-24.

scholarly journals Ruptured Primary Ovarian Pregnancy: A Rare Case Report

2013 ◽  
Vol 10 (3) ◽  
pp. 76-77 ◽  
Author(s):  
Abha Shrestha ◽  
CD Chawla ◽  
RM Shrestha
Keyword(s):  
Medical Journal ◽  
Case Report ◽  
Ovarian Cyst ◽  
Rare Case ◽  
First Trimester ◽  
Tubal Ectopic Pregnancy ◽  
Ovarian Pregnancy ◽  
Ectopic Gestation ◽  
Uncommon Presentation ◽  
Rare Case Report

Ovarian pregnancy is an uncommon presentation of ectopic gestation and usually, it ends with rupture before the end of the first trimester. Its presentation often is difficult to distinguish from that of tubal ectopic pregnancy and hemorrhagic ovarian cyst. We report a rare primary ruptured ovarian pregnancy in a 26 years lady. Kathmandu University Medical Journal | VOL.10 | NO. 3 | ISSUE 39 | JUL- SEP 2012 | Page 76-77 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8026

Diagnostic And Therapeutic Management Of Ectopic Pregnancies

2021 ◽  
Vol 17 ◽  
Author(s):  
Fatimetou Abdelkader Hamad ◽  
Nadia Lamiri ◽  
Wajih Abidi ◽  
Dekhra Trabelsi ◽  
Rim Ben Hmid ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Severe Disease ◽  
Early Period ◽  
First Trimester ◽  
Therapeutic Management ◽  
Public Health Issue ◽  
Live Births ◽  
Average Patient ◽  
Ectopic Pregnancies ◽  
Epidemiological Profile

Background : Ectopic pregnancy is the most common cause of death among women during the first trimester of pregnancy despite the progress made with early diagnonsis. It occurs at a rate of 1 to 2 % that of live births. In Mauritania, EP is a public health issue mostly effecting young women. Objective : to evaluate the diagnosic abilities and the management of EP. Methods: This study is transverse descriptive and was carried out in the maternity of Nouakchott’s teaching hospital. The aim of this study was to provide data on the epidemiological profile, dignosis, management and prognosis of ectopic pregnancy. During the period from May 2013 to April 2014, 44 cases of ectopic pregnancies were collected. The collected data was analysed by means of SPSS version 20, Microsoft Excel 2007. Result: The incidence of EP was 0.99% coefficient to 1 EP per 100 live births. EP management represented 7.3% emergency surgery. The average patient age was 29.84 ± 5.988 years. The most affected age group was the 25-34 year olds (61.4%). Multigravida were more affected with a rate of 80%. Patients with an EP commonly presented with pelvic pain (91% of our patients), late in menstruation (86.3%) and vaginal bleeding (61.3%). Pelvic ultrasound was performed in 41 patient coefficient to 93%. The treatment was surgical by laparotomy in all of the cases. The surgical treatment was radical in 93.2% : Salpingectomy was performed in 86.4% of the cases, adnexectomy was performed in 6.8% of the cases.Conservative treatment was performed in 3 patients : 2 cases of salpingotomy and 1 case of tubal expression. In most cases, the postoperative evolution was simple. Conclusion: Until this day, ectopic pregnancy is a severe disease. despite the progress made with early diagnonsis in many cases the treatment is surgical with all its consequences and especially in the developing countries including mauritania. Improving the therapeutic management is above all improving the diagnostic procedure in a very early period. And for decades we keep saying that ectopic pregnancy: thinking about it often is not thinking enough.

scholarly journals Non-surgical management of unruptured tubal ectopic pregnancy

2017 ◽  
Vol 6 (7) ◽  
pp. 3041
Author(s):  
Anjali Choudhary ◽  
Priyanka Chaudhari ◽  
Neeta Bansal
Keyword(s):  
Ectopic Pregnancy ◽  
Medical Management ◽  
Expectant Management ◽  
First Trimester ◽  
Response To Treatment ◽  
Surgical Trauma ◽  
Tubal Ectopic Pregnancy ◽  
Beta Hcg ◽  
Surgical Options ◽  
Ectopic Pregnancies

Background: Ectopic pregnancy is still the leading cause of pregnancy related morbidity in the first trimester. Since majority of the women who present with ectopic pregnancies are sub fertile and young, there is a role for non-surgical options of managing these pregnancies. Expectant and medical management not only serves to conserve the fallopian tubes but also saves women from surgical trauma and morbidity. The objective of this retrospective study was to share our experience of treating un-ruptured tubal ectopic pregnancies conservatively.Methods: Women diagnosed with un-ruptured tubal ectopic pregnancy, fit for conservative /medical management were included. Women with serum beta HCG levels less than 1000 mIU/L were treated expectantly and women with Bet HCG levels >1000 but <10,000 mIU /L were given Injectable methotrixate. Response to treatment was monitored by serial beta HCG levels.Results: Total 37 women included in the study.12% women showed complete resolution with expectant treatment alone and 88% resolved after a single dose methotrixate.Conclusions: Many women with un-ruptured tubal ectopic pregnancies would benefit from expectant management, or methotrixate therapy. Methotrixate used in carefully selected women is safe and effective in resolving these cases with good post treatment reproductive outcome.

scholarly journals Clinical presentation of tubal ectopic pregnancy

2020 ◽  
Vol 9 (3) ◽  
pp. 1148
Author(s):  
Kavitha Garikapati ◽  
M. Parvathi Devi ◽  
N. Alekya Goud
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Clinical Presentation ◽  
Uterine Cavity ◽  
Expectant Management ◽  
Signs And Symptoms ◽  
First Trimester ◽  
Child Bearing ◽  
Incidence Risk ◽  
Ectopic Pregnancies

Background: When the fertilized ovum gets implanted at site other than normal position of uterine cavity, it is known as ectopic pregnancy. Incidence of ectopic pregnancy is 1-2% of all reported pregnancies. It is an unmitigated disaster of human production and the most important cause of morbidity and mortality in first trimester with major cause of reduced child bearing potential. It is notorious in its clinical presentation, challenging the attending physician.Methods: women with risk factors, signs and symptoms and with confirmed diagnosis. Women discharged against medical advice. Study population is 50. Retrospective analysis for 3 years (2016-2019). Objectives of this study were to study the incidence, risk factors, clinical presentation, diagnosis and changing trends of modern management. Results analysed after entering the information in the excel sheets using descriptive analysisResults: Out of 4940 deliveries, 50 were tubal ectopic pregnancies 1.012%. Women aged 20-25 years were 52%. In our study, multiparous were 68%. Common symptoms were abdominal pain 80.2%, amenorrhea 72%, urine gravindex test positive 92.8%. Etiology was PID 20%, previous ectopic pregnancy 4%, IUCD 4%, LSCS with tubectomy 16%, most common site is ampulla 82%. About 78% were ruptured. Tubal abortions 4%, salpingectomy done in 82%. Laparotomy in 2.43% in hemodynamically unstable. Medical management 8%. Salpingostomy in 4% and expectant management 2%. Morbidity in the form of blood transfusion 23.48%, DIC with ICU admission 2%. No mortality.Conclusions: A high index of clinical suspicion with underlying risk factors may get us early diagnosis for timely intervention.

scholarly journals Ruptured Tubal Ectopic Pregnancy at Fifteen Weeks Gestational Age

2019 ◽  
Vol 3 (1) ◽  
pp. 62-64 ◽  
Author(s):  
Justine Stremick ◽  
Kyle Couperus ◽  
Simeon Ashworth
Keyword(s):  
Abdominal Pain ◽  
Ectopic Pregnancy ◽  
Gestational Age ◽  
Vaginal Bleeding ◽  
First Trimester ◽  
Second Trimester ◽  
Intrauterine Pregnancy ◽  
Tubal Ectopic Pregnancy ◽  
Ectopic Pregnancies ◽  
First Trimester Ultrasound

Tubal ectopic pregnancies are commonly diagnosed during the first trimester. Here we present a second-trimester tubal ectopic pregnancy that was previously misdiagnosed as an intrauterine pregnancy on a first-trimester ultrasound. A 39-year-old gravida 1 para 0 woman at 15 weeks gestation presented with 10 days of progressive, severe abdominal pain, along with vaginal bleeding and intermittent vomiting for two months. She was ultimately found to have a ruptured left tubal ectopic pregnancy. Second-trimester ectopic pregnancies carry a significant maternal mortality risk. Even with the use of ultrasound, they are difficult to diagnose and present unique diagnostic challenges.

scholarly journals Chronic Tubal Ectopic Pregnancy with Diagnostic Conundrum: A Case Report

2021 ◽  
Vol 6 (2) ◽  
pp. 192-194
Author(s):  
Vishal Sharma ◽  
Ravi Dutt Wadhwa
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Gestational Age ◽  
First Trimester ◽  
Present Case Report ◽  
Tubal Ectopic Pregnancy ◽  
Threatening Condition ◽  
Life Threatening ◽  
First Trimester Of Pregnancy ◽  
Ectopic Pregnancies

Ectopic pregnancy is a life threatening condition and mostly ectopic pregnancies occurs in fallopian tube. The most common site of ectopic tubal pregnancy is ampulla. Ectopic pregnancy is a complication of pregnancy and usually easy to diagnose by ultrasonography during the first trimester of pregnancy. Due to limited healthcare resources in developing countries, women do not undergo for ultrasound examination during pregnancy which leads to late diagnosis. In most of cases women with ectopic pregnancy are asymptomatic, unless ruptured. The mean gestational age for clinical presentation of ectopic pregnancy is 7.2 weeks after the last normal menstrual period. In rural population, late presentations of ectopic pregnancies are more commonly seen because of lack of modern diagnostic ability. Present case report is a rare case of non-viable, unruptured, tubal ampullary chronic ectopic pregnancy of 12 weeks gestational age. Keywords: Ectopic pregnancy, Unruptured, gestational age, ultrasonography.

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