A 34-week ovarian pregnancy: case report and review of the literature.

Meşeci E, Güzel Y, Zemheri E, Eser SK, Ozkanlı S, Pınar Kumru
Journal of the Turkish German Gynecological Association · 2013 · doi:10.5152/jtgga.2013.31391 · PMID:24592116 · PMC3935532
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This case report describes a rare advanced ovarian pregnancy in a 33-year-old woman who presented with an acute abdomen at 34 weeks of gestation. Surgical intervention via laparotomy revealed a live fetus within the left adnexa, leading to delivery and subsequent salpingo-oophorectomy due to severe placental bleeding. The authors emphasize that early diagnosis is critical for improving maternal and neonatal outcomes given the high mortality rates associated with this condition. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Advanced ovarian pregnancy is a quite rare condition. Due to the high maternal and neonatal mortality rates, early and accurate diagnosis is vital. Lack of sufficient data led us to search the literature and compile available data on the topic. A 33-year-old woman presented with acute abdomen at 34 weeks of gestation. She underwent laparotomy, which revealed a live foetus surrounded by an intact amnion membrane located in the left adnexal area. The patient delivered a live female infant. Heavy bleeding from the placenta necessitated salpingo oophorectomy. Histological examination of the removed tissue confirmed the ovarian pregnancy. Because of the substantial risk of adverse outcomes, this condition should be borne in mind, especially in cases presenting with acute abdomen during pregnancy.
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ABSTRACT Advanced ovarian pregnancy is a quite rare condition. Due to the high maternal and neonatal mortality rates, early and accurate diagnosis is vital. Lack of sufficient data led us to search the literature and compile available data on the topic. A 33-year-old woman presented with acute abdomen at 34 weeks of gestation. She underwent laparotomy, which revealed a live foetus surrounded by an intact amnion membrane located in the left adnexal area. The patient delivered a live female infant. Heavy bleeding from the placenta necessitated salpingo oophorectomy. Histological examination of the removed tissue confirmed the ovarian pregnancy. Because of the substantial risk of adverse outcomes, this condition should be borne in mind, especially in cases presenting with acute abdomen during pregnancy.

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