| Contralateral ovarian pregnancy after single tubal recanalisation. | |
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MedLine Citation:
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PMID: 21535309 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Ovarian pregnancy accounts for less than 3% of all ectopic pregnancies. A 30-year-old who had undergone right tubal reanastomosis seven months prior presented with pain abdomen and spotting. Her last menstrual period was 30 days prior. Examination revealed stable vitals, tenderness and shifting dullness per abdomen, fullness in the pouch of Douglas, a tender left adnexal mass and normal size uterus. Urine pregnancy test was positive. Culdocentesis revealed blood. A heteroechoic 3 × 3.2 × 3.1 cm left adnexal mass and free fluid were detected on ultrasound. There was no intrauterine gestational sac. On laparotomy 800 mL of hemoperitoneum was present. There was no evidence of tubal pregnancy. Left ovary had a 3 × 5 cm hemorrhagic mass. Partial ovariectomy was done and histopathology revealed ovarian pregnancy. This is the first reported case of an ovarian pregnancy occurring after tubal recanalisation. After successful tubal recanalisation procedure, altered motility of the reconstructed tube may cause expulsion of fertilized ovum into the peritoneal cavity and contralateral ovarian implantation. |
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Authors:
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Deepti Goswami; Vijay Zutshi; Nita Khurana; Shakun Tyagi; Swaraj Batra |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-5-3 |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: - ISSN: 1341-8076 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-5-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology. |
Affiliation:
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Departments of Obstetrics and Gynecology Pathology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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