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Case Reports
. 2014 Nov;12(11):779-84.

Thirteen -weeks ovarian pregnancy following in vitro fertilization for primary infertility treatment: A case report

Tahereh Ashrafganjoei  1 , Behzad Nemati Honar  2 , Sara Defaee  1
Affiliations
Case Reports

Thirteen -weeks ovarian pregnancy following in vitro fertilization for primary infertility treatment: A case report

Tahereh Ashrafganjoei et al. Iran J Reprod Med. 2014 Nov.

Abstract

Background: Ovarian pregnancy constitutes 0.15-3% of all ectopic pregnancies. The incidence of ectopic pregnancy is on the rise owing to evolution in assisted reproductive techniques (ART). The incidence reported following In vitro fertilization (IVF) or embryo transfer (ET) is 0.27% per clinical pregnancy.

Case: We present a case of a 13-weeks ovarian pregnancy following IVF-ET and through a review of the literature, the specific symptomatology, diagnostic criteria, and treatment of this particular pathology will be described.

Conclusion: Ovarian pregnancy is a rare condition and its diagnosis is difficult and relies on criteria based on intraoperative and histopathological findings. The management is, in spite of medical improvement, based on surgery. But the trend has shifted towards conservative surgeries in majority of cases.

Keywords: Ectopic pregnancy; In vitro fertilization; Ovarian pregnancy.

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Figures

Figure 1
Figure 1
AbdominoPelvic MRI showing a large mass containing fetus in right adnexa in close contact with uterus.
Figure 2
Figure 2
Clinical photograph showing gestational sac surrounded by right ovarian tissue and right tube.
Figure 3
Figure 3
Clinical photograph showing the fetus is extracting from gestational sac.
Figure 4
Figure 4
Right ovary showing ectopic pregnancy with villi (arrow), surrounded by ovarian tissue, hemorrhage and fibrin (H&E×100).
See this image and copyright information in PMC

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