Spontaneous Ovarian Pregnancy and Over Protective Management: A Case Report

Otuzbir yaşında, akut abdomen semptom ve bulgularıyla acil kliniğimize başvuran ve beta HCG sonucu pozitif olan primer ovaryan ektopik gebeliği mevcut olguyu sunmayı amaçladık. Transvajinal ultrasonografi ile sağ overde 6 haftalık gestasyonel sak ile uyumlu görüntü izlendi. Acil laparotomi ve ektopik gebelik kitlesi çıkarıldı.

Spontan Overyan Gebelik ve Over Koruyucu Tedavi: Olgu Sunumu

We aimed to present a case of primary ovarian pregnancy in a 31-year-old patient who presented to the emergency room with symptoms and signs of acute abdomen and positive beta HCG test. A gestation sac of 6 weeks was detected in the right ovary by transvaginal sonography. Emergency laparotomy and extirpation of the ectopic tissue was performed

Kaynakça

1. 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;29:143-7.

2. Nadarajah S, Sim LN, Loh SF. Laparoscopic Management of an Ovarian Pregnancy. Singapore Med J 2002;43:95-6.

3. Ko PC, Lo LM, Hsieh TT, Cheng PJ. Twenty-one years of experience with ovarian ectopic pregnancy at one institu?tion in Taiwan. Int J Gynaecol Obstet 2012 Aug 23. [Epub ahead of print]

4. Comstock C, Huston K, Lee W. The ultrasonographic ap?pearance of ovarian ectopic pregnancies. Obstet Gynecol 2005;105:42-6.

5. Einenkel J, Baier D, Horn L-C, Alexander H. Laparoscopic therapy of an intact primary ovarian preg?nancy with ovarian hyperstimulation syndrome. Hum Reprod 2000;15:2037-40.

6. Narvekar, VijayKumar PK, Shetty N, Gupta N, Ashwini GB, Rao KA.Unruptured ovarian pregnancy following IVF. J Hum Reprod Sci 2008;1:39-41.

7. De Seta F, Baraggino E, Strazzanti C, De Santo D, Tracanzan G, Guaschino S. Ovarian pregnancy: a case re?port. Acta Obstet Gynecol Scand 2001;80: 661-2.

8. Comstock C, Huston K, Lee W. The Ultrasonographic ap?pearance of ovarian ectopic pregnancies. Obstet Gynecol 2005;105:42-5.

9. Mehmood SA, Thomas JA. Primary ectopic ovarian preg?nancy (report of three cases). J Postgrad Med 1985;31:219.

10. Raziel A, Golan A, Pansky M, Ron-El R, Bukovsky I, Caspi E. Ovarian pregnancy: a report of twenty cases in one institution. Am J Obstet Gynecol 1990; 163:1182-5

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