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Published on: February 4, 2014
The preoperative diagnosis of primary ovarian pregnancy
Oroma Nwanodi1, Neekiaund Khulpateea
1Memorial Hospital of Converse County, 111 S. Fifth St., Suite 1, Douglas, WY 82633, USA. o.nwanodi@juno.com
Background:
Ovarian pregnancies comprise 0.15% of all pregnancies and 0.15-3% of ectopic gestations, with an incidence of up to 1/7,000 deliveries.
Case:
A single case of an ovarian gestation consistent with Spieglberg's four criteria in a primigravida without prior gynecological, medical, or surgical history is presented. Presumptive diagnosis was by thorough clinical examination with a single, palpable, adnexal mass in a patient with BMI of 19, supported with serial ultrasound and quantitative betaHCG-enabled preoperative diagnosis.
Conclusion:
Primary ovarian pregnancy may occur without any classical antecedent risk factors. Ultrasonography can be a useful adjunct to clinical presentation and physical examination in allowing the preoperative diagnosis of ovarian gestation.
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