Ectopic ovarian pregnancy: case report and review of the literature
DOI:
https://doi.org/10.18597/rcog.296Keywords:
Ectopic pregnancy, ovarian pregnancy, complications of pregnancyAbstract
Objective: To report one case of ectopic ovarian pregnancy, and to review the literature on the diagnosis and treatment of this condition.
Materials and methods: An ectopic ovarian pregnancy in a patient using a copper intrauterine device (IUD) is reported. Laparoscopic treatment was provided in a private, level III general care institution. A search was conducted on the subject of the review in the PubMed, Ovid, ScienceDirect and Lilacs databases using the MeSH terms “pregnancy, ectopic”; “pregnancy, ovarian”; “pregnancy complications”. The search included reports, case series and review articles.
Results: Overall, 23 references were found in the literature, including one book chapter, 9 topic reviews, and 13 reports or case series. Diagnosis requires a high degree of clinical suspicion, measurement of the beta subunit of the human chorionic gonadotropin hormone (B-HCG), and transvaginal obstetric ultrasound performed by an experienced operator. Treatment is usually surgical through a laparoscopic approach or exploratory laparotomy, depending on the experience and training of the treating surgeon. There is no evidence supporting the use of methotrexate for this condition.
Conclusion: Ectopic ovarian pregnancies are infrequent clinical occurrences, ultrasound is of limited usefulness, and surgical treatment with wedge resection or oophorectomy is the most frequent form of management.
Author Biographies
Fabio Aníbal Gómez-Rey
Carlos Andrés Trejos-Ramírez
Médico General, Universidad Tecnológica de Pereira, residente de primer año de Ginecología y Obstetricia, Universidad de La Sabana, Departamento de Ginecología y Obstetricia, Clínica Universidad de La Sabana, Chía (Colombia).
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