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Review
. 2022 Oct 25:13:1036365.
doi: 10.3389/fphys.2022.1036365. eCollection 2022.

Unruptured ovarian ectopic pregnancy: Two case reports and literature review

Fang Ren  1 , Gang Liu  2 , Tifang Wang  1 , Meijun Li  1 , Zhiqiang Guo  1
Affiliations
Review

Unruptured ovarian ectopic pregnancy: Two case reports and literature review

Fang Ren et al. Front Physiol. .

Abstract

In clinical practice, ovarian pregnancy is extremely rare and is always found to be ruptured. A definitive diagnosis for ruptured ovarian pregnancy is difficult to obtain. We present two cases of unruptured ovarian pregnancies detected during laparoscopy and review existing literature to better understand the clinical characteristics of ectopic pregnancies in this rare site. Intrauterine devices, assisted reproductive technology, and intrauterine operations are all high-risk factors in ovarian pregnancy. Moreover, menopause, abdominal pain, and vaginal bleeding are clinical manifestations. Ovarian pregnancy can be diagnosed using serum hCG, transvaginal ultrasound, and magnetic resonance imaging. Laparoscopy is the treatment of choice for ovarian pregnancy. It is recommended that the intact gestational sac be excised and the ovarian function be protected to the greatest extent possible during the operation. More definitive diagnosis of ovarian pregnancy must be reported in order to gain a better understanding of ovarian pregnancy.

Keywords: case report; diagnosis; ovarian pregnancy; review; treatment.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
(A) Transvaginal ultrasonography revealed an echogenic mass in the left ovary. (B) MRI diagnosis revealed a left ovarian mass. (C) Ovarian pregnancy was detected using a laparoscope. (D) Ovarian pregnancy lesion was completely removed. (E) Postoperative pathological analysis confirmed left ovarian gestation, revealing both chorionic villi and trophoblasts.
FIGURE 2
FIGURE 2
(A) Transvaginal ultrasonography revealed an echogenic mass in the right ovary. (B) Ovarian pregnancy was detected using a laparoscope. (C) Postoperative pathological analysis confirmed right ovarian gestation, revealing both chorionic villi and trophoblasts.
See this image and copyright information in PMC

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