An Audit of primary ovarian pregnancy in a tertiary care hospital

Sairem Mangolnganbi Chanu, Biswajit Dey, Gourisankar Rudrapal, Subrat Panda, Vandana Raphael, Ahanthem Santa Singh
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(8) , pp. 3316 · doi:10.18203/2320-1770.ijrcog20183337 · W2884847276
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This retrospective audit of 95 ectopic pregnancies identified six primary ovarian pregnancies, noting endometriosis as a potential risk factor and evaluating surgical management outcomes including oophorectomy.

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This retrospective audit analyzed six cases of primary ovarian pregnancy diagnosed using Spiegberg’s criteria over a ten-year period at a tertiary care hospital. The study identified endometriosis as one of several implicated risk factors alongside intrauterine devices and pelvic inflammatory disease, noting that all patients presented with amenorrhea and acute abdominal pain. Surgical management involved laparotomy for all cases due to rupture or other complications, resulting in either partial ovariectomy or oophorectomy with salpingectomy, with histopathology confirming the diagnosis in every instance. Relevance to endometriosis: listed as one risk factor for primary ovarian pregnancy, though the paper's main focus is the surgical management of ectopic pregnancies rather than endometriosis itself.

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Abstract

Background: Ovarian pregnancy is uncommon form of ectopic pregnancy with increasing trend in its incidence. Various risk factors have been implicated like intrauterine contraceptive devices, fertility treatments, pelvic inflammatory disease (PID), and endometriosis.Methods: This is a retrospective observational study done over a period of 10 years from January 2008 to December 2017.All the patients, who were diagnosed as primary ovarian pregnancy based on Spielberg’s criteria, were included in the study.Results: There were 6 cases (6.3%) of primary ovarian pregnancy out of the 95 cases of ectopic pregnancies. The age of the patients ranged from 28 years to 43 years with a mean age of 31.8 years. Amenorrhea and acute pain abdomen was present in all the patients. Laparotomy was done in all the cases. Excision of the sac with partial ovariectomy was done in 2 cases (33.3%).Oophorectomy with salpingectomy was done in the rest of the 4 cases (66.7%). Histopathological confirmation was done in all the cases.Conclusions: Ovarian pregnancy is uncommon form of ectopic pregnancy with increasing trend in its incidence. Management of choice is laparoscopy. Laparotomy is done if there are signs of rupture.
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Background

Ovarian pregnancy is uncommon form of ectopic pregnancy with increasing trend in its incidence. Various risk factors have been implicated like intrauterine contraceptive devices, fertility treatments, pelvic inflammatory disease (PID), and endometriosis.

Methods

This is a retrospective observational study done over a period of 10 years from January 2008 to December 2017.All the patients, who were diagnosed as primary ovarian pregnancy based on Spielberg’s criteria, were included in the study.

Results

There were 6 cases (6.3%) of primary ovarian pregnancy out of the 95 cases of ectopic pregnancies. The age of the patients ranged from 28 years to 43 years with a mean age of 31.8 years. Amenorrhea and acute pain abdomen was present in all the patients. Laparotomy was done in all the cases. Excision of the sac with partial ovariectomy was done in 2 cases (33.3%).Oophorectomy with salpingectomy was done in the rest of the 4 cases (66.7%). Histopathological confirmation was done in all the cases.

Conclusions

Ovarian pregnancy is uncommon form of ectopic pregnancy with increasing trend in its incidence. Management of choice is laparoscopy. Laparotomy is done if there are signs of rupture. Metrics

References

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endometriosis

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