A Case of Primary Ovarian Pregnancy.

Kwon, So Young; Kim, You Shin; Kim, Ji Hyang; Lee, Geon Ho; Kong, Du Sik; Kim, In Hyun

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(9):1797-1802.
Published online September 1, 2003.

A Case of Primary Ovarian Pregnancy.

So Young Kwon, You Shin Kim, Ji Hyang Kim, Geon Ho Lee, Du Sik Kong, In Hyun Kim

Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea.

Abstract

Although tubal pregnancy is increasing, primary ovarian ectopic pregnancy has remained a rare event. However, recent reports suggest an increasing incidence to both tubal and term pregnancies. Ovarian pregnancy occurs within the ovary and on the corpus luteum. Earlier diagnosis is now possible, owing to the availability of highly specific radioimmunoassay for human chorionic gonadotrophin and the development of transvaginal ultrasonography. Clinical and even intraoperative diagnosis is difficult and confirmation may be made only by microscopic examination of the tissue specimen. Current understanding of the etiological factors, classification, possible pathogenesis, clinical presentation, diagnostic steps, reevaluation of diagnostic criteria, preferred management and future fertility are detailed. The therapy is surgical and currently more conservative than in the past, because of improvement in operative laparoscopy. We report a case of primary ovarian pregnancy treated conservatively under laparoscopic surgery with a brief review of literature.

Key Words: Ovarian pregnancy, Incidence, Laparoscopy