Obstet Gynecol Sci.  2017 Sep;60(5):462-468. 10.5468/ogs.2017.60.5.462.

Preoperative diagnostic clues to ovarian pregnancy: retrospective chart review of women with ovarian and tubal pregnancy

• Seo MR
• Choi JS
• Bae J
• Lee WM
• Eom JM
• Lee E
• Keum J

• KMID: 2393846
• DOI: http://doi.org/10.5468/ogs.2017.60.5.462

Abstract

OBJECTIVE
To analyze the preoperative diagnostic clues to ovarian pregnancy (OP).
METHODS
This study conducted a retrospective chart review of 23 patients with OP and 46 patients with tubal pregnancy (TP) from October 1, 2003 to September 31, 2016 in Hanyang University Hospital.
RESULTS
There were no significant differences in demographic and clinical characteristics between the two groups. The presence of an ectopic gestational sac and hemoperitoneum was significantly higher in the TP group (13.0% vs. 95.7%, P=0.000; 13.0% vs. 54.3%, P=0.001, respectively) in preoperative ultrasonogram. The OP group had more ruptured ectopic gestational sacs than the TP group (73.9% vs. 45.7%, P=0.039) in surgical findings.
CONCLUSION
For the patients in whom a gestational sac is not detected in the uterus or the fallopian tubes, it is important to be aware of the possibility of OP and rupture of an ovarian gestational sac to promote early diagnosis and surgical intervention.

Keyword

Ovarian pregnancy; Tubal pregnancy; Laparoscopy; Hemoperitoneum

MeSH Terms

Early Diagnosis
Fallopian Tubes
Female
Gestational Sac
Hemoperitoneum
Humans
Laparoscopy
Pregnancy
Pregnancy, Ovarian*
Pregnancy, Tubal*
Retrospective Studies*
Rupture
Ultrasonography
Uterus

Figure

• 

  Fig. 1 (A) Huge hematoma in the pelvic cavity. (B) A large amount of free fluid in the hepatorenal recess. (C) Left ovarian pregnancy (white arrow).

• 

  Fig. 2 (A) Small hematoma in the cul-de-sac. (B) No hematoma in the hepatorenal recess. (C) Right ovarian pregnancy (white dotted arrow).

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