Limits...
Accurate preoperative diagnosis of ovarian pregnancy with transvaginal scan.

Gupta N, Gupta A, Onyema G, Pantofel Y, Ying SC, Garon JE, Lampley C, Blankstein J - Case Rep Obstet Gynecol (2012)

Bottom Line: Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging.Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies.This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Mount Sinai Hospital, 1500 S California Avenue, Chicago, IL 60608, USA.

ABSTRACT
Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging. Dr. Saint Monnissey described the first reported case of ovarian pregnancy in 17th century. Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies. Management with laparoscopy or laparotomy is required in all cases, and in almost all cases, ovary can be preserved since implantation is usually superficial (Koo et al.; 2011). A single case of an ovarian pregnancy, consistent with Spiegelberg's criteria is presented here. This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy. As we step into an era where in vitro fertilization rate is on its hike, one should be aware that incidence of ovarian pregnancy is also increasing, necessitating a high index of suspicion.

No MeSH data available.


Related in: MedlinePlus

© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3472540&req=5

Mentions: A 35-year-old primiparous, at 4+2/7 weeks gestation, estimated by her last menstrual period, presented to the emergency room, after her routine ultrasound as part of initial prenatal visit. The transvaginal ultrasound was suggestive of an empty anteverted uterus with homogenous echotexture, lack of intrauterine pregnancy, and an 8.6 mm endometrium stripe. It also showed a 4.3 × 3.1 × 2.8 cm complex mass (Figure 1) arising from the right ovary with a 1.1 × 0.7 × 0.5 cms gestational sac, yolk sac, and a 2.5 mm alive embryo with heart rate of 76 bpm within (Figure 2). The left ovary appeared unremarkable. Scant amount of free fluid was noted in the posterior cul de sac.


Accurate preoperative diagnosis of ovarian pregnancy with transvaginal scan.

Gupta N, Gupta A, Onyema G, Pantofel Y, Ying SC, Garon JE, Lampley C, Blankstein J - Case Rep Obstet Gynecol (2012)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3472540&req=5

Mentions: A 35-year-old primiparous, at 4+2/7 weeks gestation, estimated by her last menstrual period, presented to the emergency room, after her routine ultrasound as part of initial prenatal visit. The transvaginal ultrasound was suggestive of an empty anteverted uterus with homogenous echotexture, lack of intrauterine pregnancy, and an 8.6 mm endometrium stripe. It also showed a 4.3 × 3.1 × 2.8 cm complex mass (Figure 1) arising from the right ovary with a 1.1 × 0.7 × 0.5 cms gestational sac, yolk sac, and a 2.5 mm alive embryo with heart rate of 76 bpm within (Figure 2). The left ovary appeared unremarkable. Scant amount of free fluid was noted in the posterior cul de sac.

Bottom Line: Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging.Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies.This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Mount Sinai Hospital, 1500 S California Avenue, Chicago, IL 60608, USA.

ABSTRACT
Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging. Dr. Saint Monnissey described the first reported case of ovarian pregnancy in 17th century. Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies. Management with laparoscopy or laparotomy is required in all cases, and in almost all cases, ovary can be preserved since implantation is usually superficial (Koo et al.; 2011). A single case of an ovarian pregnancy, consistent with Spiegelberg's criteria is presented here. This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy. As we step into an era where in vitro fertilization rate is on its hike, one should be aware that incidence of ovarian pregnancy is also increasing, necessitating a high index of suspicion.

No MeSH data available.


Related in: MedlinePlus