Document Detail


Ovarian ectopic pregnancy: diagnosis, treatment, correlation to Carnegie stage 16 and review based on a clinical case.
MedLine Citation:
PMID:  19476943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present a case of a vital ectopic pregnancy after 8 weeks that was located in the right ovary. DESIGN: Case study and literature review. SETTING: Hospital outpatient clinic. PATIENT(S): A 29-year-old primigravida presented with lower abdominal pain and mild vaginal bleeding at 8 weeks after her last menstrual period. INTERVENTION(S): Wedge resection of the ovary which did not affect subsequent fertility. MAIN OUTCOME MEASURE(S): Conservative treatment options and preservation of patient's reproductive capacity. RESULT(S): The embryo was laparoscopically removed in toto and visualized. Therefore, macroscopic correlation to Carnegie stage 16 of development was possible. CONCLUSION(S): Approximately 3% of all ectopic pregnancies are located in the ovaries. Preoperative diagnosis of this extremely rare condition is challenging, because the ectopic tumor often resembles cysts of the corpus luteum. At surgery, the trophoblast tissue or the embryo can rarely be visualized completely.
Authors:
Bernhard Kraemer; Elizabeth Kraemer; Ersin Guengoer; Ingolf Juhasz-Boess; Erich-Franz Solomayer; Diethelm Wallwiener; Taufiek Konrad Rajab
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-23
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-29     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392.e13-5     Citation Subset:  IM    
Affiliation:
University Hospital for Women, Calwerstrasse 7, Tuebingen, Germany. bernhard.kraemer@med.uni-tuebingen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Laparoscopy / methods
Ovary / pathology,  surgery*
Pregnancy
Pregnancy, Ectopic / pathology,  surgery*,  ultrasonography
Treatment Outcome
Vagina / ultrasonography

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