China
Africa
Explore chapters and articles related to this topic
Ovarian Ectopic Pregnancy
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Common presenting symptoms of ovarian pregnancy are similar to the classic ectopic pregnancy triad of amenorrhea, irregular bleeding, and abdominal pain [1]. Usual pregnancy symptoms, such as breast tenderness, nausea, and urinary frequency, are commonly present [9]. Less commonly, it presents with dizziness, syncope, hypovolemic shock due to acute intra-abdominal bleeding, or shoulder pain worsened by inspiration, usually caused by phrenic nerve irritation from subdiaphragmatic blood. Some women, however, can be totally asymptomatic [16]. These symptoms can present in early pregnancy conditions such as threatened or missed abortion or hemorrhagic corpus luteum cyst. Moreover, approximately 20% of women with normal pregnancies have early bleeding and/or mild abdominal pain. Of note, pregnancy-unrelated disorders may present with symptoms that mimic ectopic pregnancy, and many of these conditions may coexist concurrently with pregnancy [17, 18].
Primary ovarian ectopic pregnancy case report
Published in Journal of Obstetrics and Gynaecology, 2020
Erkan Elci, Gulhan Elci, Sena Sayan
Ovarian pregnancy is rare but constitutes 3.2% of ectopic pregnancies (Bouyer et al. 2002). It is very difficult to separate from tubal pregnancies by clinical and ultarsonographic findings. However, some USG symptoms have been reported to suggest ovarian pregnancy. The presence of follicles originating from the corpus luteum or ovarian cortex around the mass, an echolucent area with a large echogenic ring on the ovary surface, and echogenicity of the ring have been reported to be generally higher than the echogenic ecology of the ovary (Ghi et al. 2005).