Primary ovarian ectopic pregnancy with ovulation induction

Asha V. Nair, Bushra Ahmed, Ashem Shalaby, vaidyanathan Gowri

Research output: Contribution to journalArticle

Abstract

Background: Primary ovarian pregnancy can present as a life-threatening situation, and recognition is not always possible. A high index of suspicion will help reduce morbidity and mortality in patients with this condition. Case: A 34-year-old woman, who presented in shock even before missing a menstrual period, was taken to the operating room to address a suspected tubal pregnancy. She had conceived after receiving the fertility drug, clomiphene citrate. Both of her fallopian tubes were normal. Results: After excision of the suspected corpus luteum, the patient recovered well. While the provisional diagnosis was a ruptured corpus luteum, histology results showed that she had an ovarian pregnancy. She became pregnant spontaneously a few months after removal of the cyst and the ovarian pregnancy. Conclusions: Ovarian pregnancy can present with rupture even before a menstrual period is missed, and a high index of suspicion at laparotomy/laparoscopy is necessary if the fallopian tubes are normal.

Original languageEnglish
Pages (from-to)304-306
Number of pages3
JournalJournal of Gynecologic Surgery
Volume34
Issue number6
DOIs
Publication statusPublished - Dec 1 2018

Fingerprint

Ovulation Induction
Ectopic Pregnancy
Fallopian Tubes
Corpus Luteum
Fertility Agents
Tubal Pregnancy
Clomiphene
Operating Rooms
Laparoscopy
Laparotomy
Cysts
Rupture
Shock
Histology
Morbidity
Mortality
Ovarian Pregnancy

Keywords

  • clomiphene
  • ectopic
  • infertility
  • ovarian pregnancy

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynaecology

Cite this

Primary ovarian ectopic pregnancy with ovulation induction. / Nair, Asha V.; Ahmed, Bushra; Shalaby, Ashem; Gowri, vaidyanathan.

In: Journal of Gynecologic Surgery, Vol. 34, No. 6, 01.12.2018, p. 304-306.

Research output: Contribution to journalArticle

Nair, Asha V. ; Ahmed, Bushra ; Shalaby, Ashem ; Gowri, vaidyanathan. / Primary ovarian ectopic pregnancy with ovulation induction. In: Journal of Gynecologic Surgery. 2018 ; Vol. 34, No. 6. pp. 304-306.
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