Early diagnosis of ovarian pregnancy – a case report

A. Petca, C. Oprescu, F. Șandru, R.C. Petca, MC Dumitrașcu, M. Boț, N. Măru

Rezumat: Ectopic pregnancy is a serious health problem that leads to maternal mortality and morbidity. Ovarian pregnancy is a very rare variety of ectopic pregnancy and represents a medical challenge in terms of its management. Although the incidence of ovarian ectopic pregnancy is low, there is a high risk of severe complications (hemorrhagic shock) if it’s not identified and treated in time. The symptoms of ovarian ectopic pregnancy can be difficult to distinguish based on ultrasound imaging and clinical examination alone. Laparoscopic management is required for definitive diagnosis and treatment. Identifying these emergent cases early is very important because of the high risk of maternal death. We present the case of a 34-year-old female who accused left lower abdominal pain, whilst she declared 5 weeks and 4 days of amenorrhea and a positive pregnancy test. Transvaginal sonography identified a gestational sac in the very proximity of the left ovary. Laparoscopy was performed and so we discovered a purple tumor, 3.5/3 cm, with intense vascular drawing, situated on the left ovary. Thus, primary ovarian ectopic pregnancy was diagnosed and confirmed by histopathology. The postoperative evolution was favorable, the patient being discharged the next day postoperatively. Our purpose is to highlight the successful treatment with a minimally invasive surgical technique of an ovarian pregnancy.
Cuvinte cheie: ectopic pregnancy, ovarian pregnancy,laparoscopy.