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

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.

Ultrasound ◽  
2020 ◽  
pp. 1742271X2093391
Author(s):  
Satyam ◽  
M Sarthak Swarup ◽  
Anju Garg

Introduction Implantation of a gestational sac in a previous Caesarean section scar of the lower uterine segment is a rare form of ectopic pregnancy. Case report We report a case of Caesarean scar ectopic pregnancy in a 25-year-old female, diagnosed by ultrasonography and confirmed by magnetic resonance imaging. We present the clinical details, imaging findings, and management of the patient. Discussion Imaging plays an important role in the diagnosis of ectopic pregnancy and ultrasonography is the modality of choice. Ultrasonography features of scar ectopic pregnancy include empty uterus and cervix with normal endometrium and endocervical canal, gestational sac (with embryo and/or yolk sac) in the anterior part of the lower uterine segment in the region of the Caesarean scar with a thin myometrial layer between the bladder wall and gestational sac. Magnetic resonance imaging may be used as an adjunct imaging modality in cases with inconclusive or equivocal sonographic findings. Termination of pregnancy in the first trimester should be considered and treatment options should be individualized as there is no universal agreement on the best or most preferred treatment modality. Conclusion Awareness of specific ultrasound features of scar ectopic pregnancy is crucial for early recognition, correct diagnosis, and initiating prompt management to prevent complications.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama

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.


1990 ◽  
Vol 10 (4) ◽  
pp. 341-342 ◽  
Author(s):  
J. J. Browning ◽  
P. R. Goddard ◽  
D. S. Bamford ◽  
A. V. Sangala

1997 ◽  
Vol 1 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Eugenio Mercuri ◽  
Janette Atkinson ◽  
Oliver Braddick ◽  
Shirley Anker ◽  
Frances Cowan ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Salma Ouassour ◽  
Abdelhai Adib Filali ◽  
Mohamed Raiss ◽  
Rachid Bezad ◽  
Zakia Tazi ◽  
...  

Background. Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. Case Report. We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space. Conclusion. Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.


2020 ◽  
Vol 27 (3) ◽  
pp. 352-361 ◽  
Author(s):  
Silvanose Biju ◽  
Tatjana N. Parac-Vogt

Paramagnetic Lanthanide ions incorporated into nano- architectures are emerging as a versatile platform for Magnetic Resonance Imaging (MRI) contrast agents due to their strong contrast enhancement effects combined with the platform capability to include multiple imaging modalities. This short review examines the application of lanthanide based nanoarchitectures (nanoparticles and nano- assemblies) in the development of multifunctional probes for single and multimodal imaging involving high field MRI as one imaging modality.


2020 ◽  
Vol 8 (9) ◽  
pp. 1387-1392
Author(s):  
Omar Laghzaoui ◽  

Endometriosis is a chronic gynecological pathology related to the presence of hormonally-dependent endometrial tissue outside the uterus. Its frequency in the adolescent is not negligible with a symptomatology dominated by pelvic pain twisted on the account of dysmenorrhea. Pelvic ultrasound is a basic examination for diagnostic guidance magnetic resonance imaging is more sensitive to visualizing deep endometriosis. Surgical and medical treatments are complementary. The evolution is marked by frequent recurrences in the teenager which can hinder the social life as well as the obstetric prognosis.


2022 ◽  
Author(s):  
SEVCAN SARIKAYA ◽  
MUHSİN NUH AYBAY

Abstract Objective: Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. This is an obstetric case diagnosed preoperatively by magnetic resonance imaging (MRI).Case: We report the case of a 19-years-old primigravida patient with rupture of rudimentary horn in 26th gestational week. The patient presented with sudden onset severe abdominal pain in the emergency room. Intraabdominal free fluid is detected. To evaluate the etiology of free fluid and location of the gestational sac, an abdominal magnetic resonance imaging (MRI) scan was planned. The decision of emergent laparotomy is made because of sonographic detection of abdominal excessive -concentrated- free fluid, abdominal tenderness, and 2 points decrease of hemoglobin value in the control hemogram. A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. A baby -live- weighing 450 grams was delivered. The ruptured rudimentary horn and same-sided tuba uterina were surgically removed.Conclusion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac’s lumen and the cervical canal on imaging is an important finding. Due to the serious maternal and fetal complications, its detection at an early week may be life-saving.


2020 ◽  
Vol 48 (7) ◽  
pp. 030006052092454
Author(s):  
Linling Zhu ◽  
Xinyun Yang ◽  
Wenchao Sun ◽  
Liang Qian ◽  
Songyi Li ◽  
...  

Myomectomy scar pregnancy (MSP) is a rare disease, which is defined as a gestational sac located within a previous myomectomy scar. MSP is an uncommon late complication of uterine fibroids after myomectomy. We report a case where the implantation site matched the site of the previous myomectomy, and review the existing literature. A 28-year-old pregnant woman presented with vaginal bleeding. She was diagnosed with MSP by ultrasound and magnetic resonance imaging, and then underwent laparotomic enucleation. The patient’s postoperative course was uneventful. Taking into account the findings in our case and the seven other reported cases of MSP, we propose that MSP can be divided into three types and that surgical enucleation of the pregnancy mass is an effective treatment.


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