Ovarian pregnancy in a patient with endometriosis

D.V. Bryunin, Yu.N. Tarasenko, K.I. Lavrentyeva, I.D. Khokhlova, T.A. Dzhibladze, V.I. Lanchinsky, A. Asambaeva, A.I. Ishchenko, А.И. Ищенко
In: Voprosy ginekologii, akušerstva i perinatologii · 2022 · vol. 21(2) , pp. 146–149 · doi:10.20953/1726-1678-2022-2-146-149 · W4285201581
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A 29-year-old patient with endometriosis was diagnosed with ovarian pregnancy via laparoscopy, and subsequent surgical resection of the ovary and endometriotic foci led to a favorable outcome.

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This case report describes a 29-year-old woman with newly diagnosed ovarian and peritoneal endometriosis who presented with an ovarian pregnancy, a rare form of ectopic gestation. The authors highlight that preoperative diagnosis was difficult and only confirmed during laparoscopy, which allowed for simultaneous resection of the ectopic tissue and excision of endometriotic foci. Following the surgical intervention, the patient successfully conceived again and achieved a favorable outcome through emergency delivery. This paper is centrally about endometriosis — specifically its role as a risk factor for ovarian pregnancy and the surgical management of both conditions concurrently.

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Abstract

The clinical observation of ovarian pregnancy in a 29-year-old patient with newly identified ovarian and peritoneal endometriosis, which is considered as a risk factor for ectopic pregnancy in the literature, is presented. This observation proves that ovarian pregnancy presents significant difficulties for the diagnosis: in our study, the diagnosis was established only during laparoscopy. The ovarian resection and the excision of the endometriotic foci were performed, which subsequently contributed to the onset of pregnancy with a favorable outcome – emergency delivery. Key words: ovarian pregnancy, endometriosis, surgical treatment
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Ovarian pregnancy in a patient with endometriosis Dmitriy V. Bryunin / Yuliya N. Tarasenko / Kseniia I. Lavrenteva / Irina D. Khokhlova / Thea A. Dzhibladze / Victor I. Lanchinsky / Aylar Asambaeva / Anatoliy I. Ishchenko / The clinical observation of ovarian pregnancy in a 29-year-old patient with newly identified ovarian and peritoneal endometriosis, which is considered as a risk factor for ectopic pregnancy in the literature, is presented. This observation proves that ovarian pregnancy presents significant difficulties for the diagnosis: in our study, the diagnosis was established only during laparoscopy. The ovarian resection and the excision of the endometriotic foci were performed, which subsequently contributed to the onset of pregnancy with a favorable outcome – emergency delivery. Key words: ovarian pregnancy, endometriosis, surgical treatment For citation: Bryunin D.V., Tarasenko Yu.N., Lavrentyeva K.I., Khokhlova I.D., Dzhibladze T.A., Lanchinsky V.I., Asambaeva A., Ishchenko A.I. Ovarian pregnancy in a patient with endometriosis. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2022; 21(2): 146–149. (In Russian). DOI: 10.20953/1726-1678-2022-2-146-149

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