Ovarian Pregnancy: 2 Case Reports and a Systematic Review

Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not established. Therefore, all case reports on ovarian pregnancy published in PubMed from November 2011 till November 2022 were reviewed and two case reports were added. In these 84 case repo...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-02, Vol.12 (3), p.1138
Main Authors: Almahloul, Zukaa, Amro, Bedayah, Nagshabandi, Zuhdi, Alkiumi, Iman, Hakim, Zeinabs, Wattiez, Arnaud, Tahlak, Muna, Koninckx, Philippe R
Format: Article
Language:English
Subjects:
Abdomen
Abortion
Bias
Case reports
Clinical medicine
Fallopian tubes
Laparoscopy
Laparotomy
Opinion
Ovaries
Ovulation
Pain
Pathology
Pathophysiology
Pelvic inflammatory disease
Pregnancy complications
Surgery
Systematic review
Ultrasonic imaging
Uterus
Vagina
Womens health
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Summary:Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not established. Therefore, all case reports on ovarian pregnancy published in PubMed from November 2011 till November 2022 were reviewed and two case reports were added. In these 84 case reports, 8% of ovarian pregnancies occurred in women without or with blocked oviducts and 23% were localised on the other side than the corpus luteum. Since symptoms are not specific, ovarian pregnancy has to be suspected in all women with abdominal bleeding. Surgical excision is the preferred treatment. However, since an associated intra-uterine pregnancy cannot be excluded, care should be taken not to interrupt this intra-uterine pregnancy with the uterine cannula or by damaging the corpus luteum. In conclusion, in women with abdominal bleeding, an ovarian pregnancy cannot be excluded, even in women with a negative pregnancy test or an empty uterus on transvaginal ultrasonography. Therefore, a laparoscopy is indicated but the surgeon should realise that an associated intra-uterine pregnancy also cannot be excluded and that therefore care should be taken not to interrupt this intra-uterine pregnancy by the uterine cannula or by damaging the corpus luteum.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12031138