Bazán-Ruiz S, Anchayhua-Cucchi J, Ruiz-Leud M, Castillo-Pulido P

Language: Spanish
References: 15
Page: 494-498
PDF size: 351.25 Kb.

ABSTRACT

Background: Ectopic pregnancy is one of the ginecobstetric conditions that contribute to increased maternal mortality by 10 to 15% of cases. Ovarian ectopic pregnancy is one of the rare cases and represents up to 3% of ectopic pregnancies.
Case: Female with 33 years old with lower abdominal pain, and pallor. Transvaginal ultrasound showed a live product with 15.3 weeks in left ovary and moderate hemoperitoneum. Exploratory laparotomy was performed with left salpingo-oophorectomy; postoperative course was satisfactory, discharged on the fourth day.
Conclusion: Ovarian pregnancy is a rare form of presentation. Preoperative diagnosis is difficult and must have a high level of diagnostic suspicion with physical examination and imaging studies. Treatment will vary according to clinical and diagnostic precocity.

REFERENCES

1. López-Luque P, Begal-Mateo G, López-Olivares M. El embarazo ectópico: su interés actual en Atención Primaria de Salud. Semergen, 2014 [Publicación electrónica antes de impresión].

2. Pato M, Castro L, Borrajo E, Araujo J. Embarazo ectópico ovárico. Prog Obstet Ginecol 2013; 56(5):266-269.

3. Molinaro T, Barnhart K. Ectopic Pregnancy in unusual locations. Semin Reprod Med 2007;25:123-130.

4. Luglio J, Ledesma L, Cáceres E. Características clínicopatológicas de los pacientes con diagnósticos de embarazo ectópico en el Hospital Nacional Edgardo Rebagliati Martins entre 1998 y 2002. Rev Med Hered 2005;16:26-30.

5. Yglesias E. Embarazo ectópico en el Hospital Daniel Alcides Carrión. Callao, Perú 2008-2010. Rev Perú Epidemiol 2011;15(3):6.

6. Lurie S. The history of the diagnosis and treatment of ectopic pregnancy: a medical adventure. Eur J Obstet Gynecol Reprod Biol 1992;43:1-7.

7. Odejinmi F, Rizzoto M, MacRae R, Olowu O, Hussain M. Diagnosis and laparoscopy management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol 2009;16(3):354-359.

8. Joseph R, Irvine L. Ovarian ectopic pregnancy: aetiology, diagnosis, and challenges in surgical management. J Obstet Gynaecol 2012; 32:472-474.

9. Choi HJ, Im KS, Jung HJ, Lim KT, Mok JE, Kwon YS. Clinical analysis of ovarian pregnancy: a report of 49 cases. Eur J Obstet Gynecol Reprod Biol 201;158:87-89.

10. Po-Chun K, Liang-Ming L, T´sang-T´sang H, Po-Jen Ch. Twenty-one years of experience with ovarian ectopic pregnancy at one institution in Taiwan. Int J Gynaecol Obstet 2012;119:154-158.

11. Naranjo M, Lazo M, Flores M, Saona L. Tratamiento médico del embarazo ectópico en el Hospital Nacional Cayetano Heredia 2007-2008. Rev Peru Ginecol Obstet 2013;59:49-53.

12. Martínez A, Mascaro Y, Méjico W, Mere J. Características epidemiológicas, clínicas y quirúrgicas de pacientes con embarazo ectópico en el Hospital Nacional Arzobispo Loayza. Rev Per Ginecol Obstet 2013;59: 177-186.

13. Thapa M, Rawal S, Jha R, Singh M. Ovarian pregnancy: a rare ectopic pregnancy. J Nepal Med Assoc 2010; 49:52-5.

14. Gonzáles C, Salas P, Hernández A, Santiago J. Embarazo ectópico ovárico: experiencia en 10 años del Hospital Universitario La Paz, Madrid, España. Rev Chil Obstet Ginecol 2012;77:50-54

15. Odejinmi F, Rizzoto M, MacRae R, Olowu O, Hussain M. Diagnosis and laparoscopy management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol 2009;16:354-359.