Open AccessAdvances in the Diagnosis and Management of Ovarian Ectopic Pregnancy: A Short Review
Author(s) -
Kunal Rathod
Publication year - 2021
Publication title -
gynecology and obstetrics
Language(s) - English
Resource type - Journals
ISSN - 2771-0602
DOI - 10.33169/gyne.obste.gaooaoj-2-110
Subject(s) - ectopic pregnancy , medicine , pregnancy , obstetrics , gestational sac , pelvic inflammatory disease , methotrexate , gynecology , human chorionic gonadotropin , ovarian pregnancy , magnetic resonance imaging , fertility , radiology , surgery , population , hormone , genetics , biology , environmental health
The ovarian ectopic pregnancy OPE is one of the most serious and rarest types of extra-uterine pregnancy, where the implantation of the gestational sac occurs in the ovum. Given the rarity of this condition, in addition to the accompanied morbidity, the risk of their complications, and even death, early diagnosis and treatment are crucial. Its diagnosis is not easy and relies on criteria based on preoperative findings, with poor clinical symptomatology and a difficult ultrasound diagnosis. Its management of choice remains surgical therapy despite the progress in medical treatments with fertility preservation. Patients’ symptomatology, radiological and lab findings, addition to her obstetric history and desire for future procreation must also be taken into consideration. Keywords: Ectopic pregnancy; ovarian pregnancy; Treatment; Diagnosis. Abbreviations B-hCG: Beta-Human Chorionic Gonadotropin; EP: Ectopic Pregnancy; HP: Heterotopic Pregnancy; IUCD: Intra-utérine Contraceptive Devices; IUDs: Intra-Utérine Devices; MRI: Magnetic Resonance Imaging; MTX: Methotrexate; OPE: Ovarian Ectopic Pregnancy; PID: Pelvic Inflammatory Disease; TV-US: Transvaginal Ultrasonography.