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Revista Colombiana de Obstetricia y Ginecología

Print version ISSN 0034-7434

Abstract

GOMEZ-REY, Fabio Aníbal  and  TREJOS-RAMIREZ, Carlos Andrés. Ectopic ovarian pregnancy: case report and review of the literature. Rev Colomb Obstet Ginecol [online]. 2015, vol.66, n.4, pp.306-311. ISSN 0034-7434.  http://dx.doi.org/10.18597/rcog.296.

Objective: To report one case of ectopic ovarian pregnancy, and to review the literature on the diagnosis and treatment of this condition. Materials and methods: An ectopic ovarian pregnancy in a patient using a copper intrauterine device (IUD) is reported. Laparoscopic treatment was provided in a private, level III general care institution. A search was conducted on the subject of the review in the PubMed, Ovid, ScienceDirect and Lilacs databases using the MeSH terms "pregnancy, ectopic"; "pregnancy, ovarian"; "pregnancy complications". The search included reports, case series and review articles. Results: Overall, 23 references were found in the literature, including one book chapter, 9 topic reviews, and 13 reports or case series. Diagnosis requires a high degree of clinical suspicion, measurement of the beta subunit of the human chorionic gonadotropin hormone (β-HCG), and transvaginal obstetric ultrasound performed by an experienced operator. Treatment is usually surgical through a laparoscopic approach or exploratory laparotomy, depending on the experience and training of the treating surgeon. There is no evidence supporting the use of methotrexate for this condition. Conclusion: Ectopic ovarian pregnancies are infrequent clinical occurrences, ultrasound is of limited usefulness, and surgical treatment with wedge resection or oophorectomy is the most frequent form of management.

Keywords : Ectopic pregnancy; ovarian pregnancy; complications of pregnancy.

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