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. 2017 Sep;60(5):462-468.
doi: 10.5468/ogs.2017.60.5.462. Epub 2017 Sep 18.

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

Mi Rang Seo  1 , Joong Sub Choi  1 , Jaeman Bae  1 , Won Moo Lee  1 , Jeong Min Eom  1 , Eunhyun Lee  1 , Jihyun Keum  1
Affiliations

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

Mi Rang Seo et al. Obstet Gynecol Sci. 2017 Sep.

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.

Keywords: Hemoperitoneum; Laparoscopy; Ovarian pregnancy; Tubal pregnancy.

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Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
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
Fig. 2. (A) Small hematoma in the cul-de-sac. (B) No hematoma in the hepatorenal recess. (C) Right ovarian pregnancy (white dotted arrow).
See this image and copyright information in PMC

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