DIAGNOSIS OF OVARIAN PREGNANCY: CASE REPORT

DIAGNOSIS OF OVARIAN PREGNANCY: CASE REPORT

Authors

  • BESIK JAPARIDZE
  • NINO KHOTIVARI
  • ZAZA BOKHUA
  • LANA EZIESHVILI

DOI:

https://doi.org/10.52340/jecm.2023.03.15

Keywords:

Ectopic pregnancy, ovarian pregnancy, laparoscopy, laparotomy, methotrexate

Abstract

Ectopic pregnancy is the localization of the embryo outside of the uterus, most often it occurs in the fallopian tube. The ovarian form of ectopic pregnancy is a rare form of pregnancy and its frequency is 0.3-3%. Diagnosis of ovarian pregnancy is quite difficult and can be diagnosed only by morphological examination after surgery. At present, methotrexate is considered as an alternative method of surgical treatment of ectopic pregnancy, although most of the treatment methods are surgical (laparotomy, laparoscopic). In our case we present a 35-year-old woman who underwent surgical treatment at TSMU First University Clinic. Before the surgical intervention, inpatient studies and diagnostic methods established the probable diagnosis: pregnancy of the left fallopian tube with the type of abortion, hemoperitoneum, after which due to the instability of hemodynamic parameters, laparotomy with salpingectomy and ovarian resection have been done. The diagnosis of ovarian pregnancy was made only as a result of the morphological study of the preparation, which once again indicates the implementation of the perfection of diagnostic methods in the case of the mentioned pathology.

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References

Y. Melcer, R. Maymon, Z. Vaknin et al. Primary ovarian ectopic pregnancy: still a medical challenge. The Journal of reproductive medicine, 2016; 61(1–2):58–62.

L. Ge, W. Sun, L. Wang et al. Ultrasound classification and clinical analysis of ovarian pregnancy: a study of 12 cases. J Gynecol Obstet Hum Reprod. 2019 Nov; 48(9):731–737.

Stein MW, Ricci ZJ, Novak L, Robert SJH, Koenigsberg M. Sonographic comparison of the tubal ring of ectopic pregnancy with the corpus luteum. J Ultrasound Med. 2004; 23:57–62.

Medical treatment of ectopic pregnancy: The practice committee of the American society of reproductive. Fertil Steril. 2008; 90:S206–12.

Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Ovarian pregnancies: Revaluation of diagnostic criteria. J Gynecol Obstet Biol Reprod. 2002; 31:741.

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Published

2023-09-18

How to Cite

JAPARIDZE, B., KHOTIVARI, N., BOKHUA, Z., & EZIESHVILI, L. (2023). DIAGNOSIS OF OVARIAN PREGNANCY: CASE REPORT. Experimental and Clinical Medicine Georgia, (3). https://doi.org/10.52340/jecm.2023.03.15

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