OVARIAN PREGNANCY AFTER LAPAROSCOPICALY REMOVED IPSILATERAL OVARIAN TUBE BECAUSE OF TUBARIAN PREGNANCY IN WOMAN TREATED WITH IVF-ET PROCEDURE BECAUSE OF INFERTILITY
Abstract
Ovarian pregnancy is a rare condition. In article we report a case of ovarian pregnancy in a 42-years old woman who had already undergone an ipsylateral tubectomy because of an extrauterine pregnancy.
Even though the patient showed no symptoms, the inadequate rise of β hCG and the ultrasound scan were suspicious for an ovarian pregnancy which was later confirmed, intrapoeratively as well as patohistologically.
Some repeated values of β hCG did not show enough rise up and vaginal echography revealed atypical anechoic mass placed on or in the right ovary. The anechoic mass seen at right ovary become more and more tipical for gestational sac.
In combination with the fact, that the uterine cavity was empty, without echo-signs of intrauterine pregnancy and becouse of her past experiance of extrauterine pregnancy, we soon decided to perform a diagnostic laparoscopy, which confirmed our suspicion. Gestational sac was laparoscopicaly removed.
The ovary and ovarian tube on her left side were normal and without any changes of chronical inflamatory disease.
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References
- Das S, Kalyani R, Lakshmi V, Harendra Kumar M L. Ovarian pregnancy. Indian J Pathol Microbiol. 2008; 51: 37-8
- M.R. Gaudoin, K.L. Coulter, A.M. Robins, A. Verghese, K.P. Hanretty. Is the incidence of ovarian ectopic pregnancy increasing? Eur J Obstet Gynecol Reprod Biol. 1996; 70: 141-3.
- Grimes HG, Nosal RA, Gallagher JC. Ovarian_Pregnancy__A_Series_of_24_Cases. Obstet Gynecol. 1983;61: 174-80.
- Raziel A, Schachter M, Mordechai E, Friedler S, Panski M, Ron-El R (2004) Ovarian pregnancy-a 12-year experience of 19 cases in one institution. Eur J Obstet Gynecol Reprod Biol. 114: 92–6
- Marcus SF, Brinsden PR. Primary ovarian pregnancy after in vitro fertilisation and embryo transfer: Report of seven cases. Fertil Steril. 1993; 60: 167-9.
-Spiegelberg, O. Zur kazuistik der ovarialschwangerschaft. Arch Gynak. 1878; 13: 73-9..
-Sergent F, Mauger-Tinlot F. Gravier A, Verspyck E, Marpeau L. Ovarian pregnancies: reevaluation of diagnostic criteria. J Gynecol Obstet Biol Reprod. 2002; 31 (8): 741-6.
- Reljič M, Knez J, Vlaisavljević V. Human chorionic gonadotropin levels are equally predictive for pregnancy outcome after fresh and vitrified-warmed blastocyst transfer. J Assist Reprod Genet. 2013; 30 : 1459-63.
- Sandvei R, Sandstad E, Steier JA, Ulstein M. Ovarian pregnancy associated with the intra-uterine contraceptive device. A survey of two decades. Acta Obstet Gynecol Scand. 1987; 66 : 137-41.
- Stein MW, Ricci ZJ, Novak L, Roberts JH, Koenigsberg M. Sonographic comparison of the tubal ring of ectopic pregnancy with the corpus luteum. J Ultrasound Med. 2004; 23 : 57-62.
- Comstock C1, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol. 2005 Jan; 105 : 42-5.
- Einenkel J, Baier D, Horn LC,Alexander H.Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrom:Case report. Hum Reprod. 2000; 15: 2037-40.
- Kudo M, Tanaka T, Fujimoto S.A successful treatment of left ovarian pregnancy with methotrexate. Nippon Sanka Fujinka Gakkai Zasshi. 1988; 40: 811-3.
- Mittal S, Dadhwal V, Baurasi P.Successful medical menagement of ovarian pregnancy. Int J Gynecol Obstet. 2003; 80: 309-10.
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