Laparoscopic Management of Ovarian Pregnancy

Author: Tinelli Andrea   Hudelist Gernot   Malvasi Antonio   Tinelli Raffaele  

Publisher: Society of Laparoendoscopic Surgeons

ISSN: 1086-8089

Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.12, Iss.2, 2008-04, pp. : 169-172

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Abstract

Background: Ovarian pregnancy (OP) comprises 0.15% of all pregnancies and 1% to 3% of ectopic gestations.Case Report: Two cases of OP detected and treated during laparoscopy for suspected ectopic pregnancy are described. We used clinical examination, serum β-hCG levels, and transvaginal ultrasonography (TVS) preoperatively to confirm the suspected diagnosis of extrauterine pregnancy. In the first patient, oophorectomy was performed, whereas the second patient was treated by an ovarian wedge resection to restore and preserve ovarian integrity. Postoperative recovery periods were normal in both patients, with no further therapeutic intervention in the follow-up course.Conclusion: Primary OP may occasionally occur in patients with a suspected ectopic pregnancy. Signs and symptoms suggestive of extrauterine pregnancy, TVS, and serum β-hCG dynamics can be a useful adjunct to allow the preoperative diagnosis of OP prior to the use of the diagnostic gold standard, diagnostic laparoscopy. Preservation of ovarian tissue should be the therapeutic goal to maintain ovarian reserve and preserve fertility in young women with OP.

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