Document Detail


Laparoscopic treatment of a spontaneous ovarian heterotopic pregnancy.
MedLine Citation:
PMID:  19585689     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous heterotopic pregnancies are uncommon, and ovarian implantations are even more unusual. Clinical symptoms, serial human chorionic gonadotropin levels and the presence of an intrauterine pregnancy on ultrasound are not reliable to diagnose a heterotopic pregnancy. A 27-year-old Gravida 2 Para 1 presented with a complaint of right lower quadrant sharp, cramping pain associated with nausea and vomiting. Ultrasound demonstrated an intrauterine pregnancy and a right adnexal mass. The right adnexal mass had a gestational sac with a fetal pole and positive fetal heart activity. A laparoscopic ovarian cystectomy was performed with preservation of the corpus luteum. A discussion of conservative versus radical treatment of the heterotopic pregnancy is presented.
Authors:
Jessica M Dickes; Keith A Hansen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  South Dakota medicine : the journal of the South Dakota State Medical Association     Volume:  62     ISSN:  0038-3317     ISO Abbreviation:  S D Med     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-07-08     Completed Date:  2009-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101265265     Medline TA:  S D Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  47, 49     Citation Subset:  IM    
Affiliation:
Sanford School of Medicine, The University of South Dakota, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Laparoscopy*
Ovary / surgery*
Pregnancy
Pregnancy, Ectopic / surgery*
Pregnancy, Multiple*
Term Birth
Twins

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