İsmail Mete İTİL, Özge ÖZCAN, Mustafa Coşan TEREK, Şenay AYGÜL

Primary ovarian pregnancy: A case report and review of the literature

Ovarian gebelik en sık görülen non-tubal ektopik gebeliktir. Ovarian gebeliğin tanı kriterleri Spiegelberg tarafından tanımlanmıştır. 31 yaşında bayan hasta ilk trimester gebelik vonlanması sonrasında sekonder amenore ile kliniğimize başvurdu. Hastaya sağ överde mevcut olan sağ over kisti ve uterus arkasındaki lezyon için laparoskopi uygulandı. Laparoskopik olarak çıkarılan kistin histopatoiojik incelemesi ovarian gebelik olarak geldi.

Anahtar Kelimeler:

Gebelik, ektopik, Gebelik trimester, birinci, Amenore, Laparoskopi

Primer ovarian gebelik: olgu sunumu ve literatür derlemesi

Ovarian pregnancy is the most common type of non-tubal ectopic pregnancy. The diagnostic criteria for ovarian pregnacy were described by Spiegelberg. We report a 31-year-old patient with secondary amenorrhea after a first trimester pregnancy termination. The patient underwent laparoscopic operation for the right ovarian cyst and the mass on the posterior surface of the uterus. Subsequently histopathologic examination of the Iaparoscopicaiiy extirpated cyst revealed an ovarian pregnancy.

Keywords:

Pregnancy, Ectopic, Pregnancy Trimester, First, Amenorrhea, Laparoscopy,

PDF

___

1. Sharma B, Preston J, Olibo N. Ovarian pregnancy : An unusual presentation of an uncommon condition. J Obset Gynecol. 2002;5:565-566
2. Gaudoin MR, Coulter KL, Robins AM, Verghese A, Harretty KP. 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;61:174-176
4. Hallat JG. Primary ovarian pregnancy: a report of twenty five cases. Am J Obstet Gynecol 1982;143;55-60
5. Varras M, Polizos D, Kalamara Ch, Antypa E, Tsikini A, Tsouroulas M, Antoniou S, Paissios P. Primary ruptured ovarian pregnancy in a spontaneous conception cycle : a case report and review of the literature. Clin Exp Obstet Gynecol 2002;29:143-147
6. Sienera P, DiGregorio A, Arsio R. Ovarian pregnancy and operative laparoscopy: report of eight cases. Human Reprod 1997;12:608-610
7. Spiegelberg O. Zur casuistik der ovarialschwanger schaft. Arch Gynaekol 1878;13:73-75
8. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy : a 10 year population-based study of 1800 cases. Hum Reprod 2002;12:3224-3226
9. Lehfeldt H, Tietle C, Gorstein F. Ovarian pregnancy and the intrauterine device. Am J Obstet Gynecol 1970;108:1005-1008
10. Raziel A, Golan A, Pansky M, Ronel R, Bukovsky J, Caspi E. Ovarian pregnancy : a report of twenty cases in one institution. Am J Obstet Gynecol: 1990;163:1182-1185
11. DeSeta F, Baraggino E, Strazzanti C, DeSanto D, Tracanzan G, Gunschino S. Ovarian pregnancy: a case report. Acta Obstet Gynecol Scand 2001;80:661-665
12. Matseoane SL.: Ectopic pregnancy: an 11 year old study. Am J Diag Gynecol Obstet 1979;1:331-334
13. Barber HR. The riddle of ectopic pregnancy. Diagn Gynecol Obstet 1981;3:179-182
14. Mittal S, Dadhwal V, Baurasi P. Successful medical management of ovarian pregnancy. Int J Gynecol Obstet 2003;80:309-310
15. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy : a 10 year population-based study of 1800 cases. Hum Reprod 2002;12:3224-3226
16. Vasilev SA, Sauer MV. Diagnosis and modern surgical management of ovarian pregnancy. Surg Gynecol Obstet 1990;170:395-400
17. Koike H, Chuganji Y, Watanabe H, Kaneko M., Noda S, Mori N. Conservative treatment of ovarian pregnancy by local prostaglandin F2 alpha injection. Am J Obstet Gynecol:1990;163:696-699
18. Shamma FN, Schwartz LB. Primary ovarian pregnancy successfully treated with methotrexate. Am J Obstet Gynecol 1992;167:1307-1310
19. Chelmow D, Gates E, Penzias AS. Laparoscopic diagnosis and methotrexate treatment of an ovarian pregnancy: a case report. Fertil Steril 1994;4:879-81