Ovarian heterotopic pregnancy clinically mimicking endometrioma

Nilüfer Onak Kandemir, Figen Barut, Gamze Yurdakan, Ülkü Bayar, Şükrü Oğuz Özdamar
In: Turkish Journal of Pathology · 2010 · vol. 26(1) , pp. 85 · doi:10.5146/tjpath.2010.01002 · W2043643430
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Abstract

section was subsequently performed during the 36th week. intraoperative determination of a hemorrhagic mass in the left ovary and a pre-diagnosis of endometrioma necessitated wedge resection. Microscopic examination revealed chorionic villous-like structures within the hematoma, along with a few isolated trophoblast-like cells and membranous structures (Figure A-D). immunohistochemical analysis showed positive reactions for pan-keratin, human placental lactogen (hPL), and human chorionic gonadotropin (hCG) in the trophoblast-like cells surrounding these villous structures (Figure The female infant delivered via caesarean section had a birth weight of 2700 g and an Apgar score of 2/7 and was placed under intensive care in newborn unit. The patient exhibited no complications after the operation and was discharged in good condition on the third postoperative day.

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endometrioma

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