Open AccessOvarian Pregnancy: Uncommon Mode of Presentation
Author(s) -
Saubhagya Kumar Jena,
Kar G,
Soumya Samal,
Basanta Kumar Behera
Publication year - 2014
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2014/9169.5028
Subject(s) - medicine , ovarian pregnancy , presentation (obstetrics) , ectopic pregnancy , pregnancy , abdomen , vaginal bleeding , pregnancy test , acute abdomen , pelvic pain , laparoscopy , incidence (geometry) , shock (circulatory) , obstetrics , surgery , radiology , genetics , biology , physics , optics
Ovarian pregnancy is very rare, and its incidence is 1 in 3000 live births. In this condition, common risk factors for ectopic pregnancy not usually found. It usually occurs in fertile women and more commonly with in-situ intrauterine device (IUD). Preoperative diagnosis is always not possible although the patient commonly presents with abdomen-pelvic pain, per vaginal bleeding and hypovolemic shock. High degree of suspicion with estimation of serum beta HCG, transvaginal ultrasonography by an experienced sonologist and laparoscopy is required for confirming the diagnosis. Though, the usual treatment is surgery, it can be managed by medical methods only in hemodynamically stable patients. In this case report, we describe the unusual mode of clinical presentation in an elderly woman with ovarian pregnancy.