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Ovarian Pregnancy: 2 Case Reports and a Systematic Review
Zukaa Almahloul1, Bedayah Amro1, Zuhdi Nagshabandi1
1Latifa Hospital, Dubai P.O. Box 9115, United Arab Emirates.
Journal of Clinical Medicine
|February 11, 2023
Summary
Ovarian pregnancy is rare but requires suspicion in women with abdominal bleeding, even with negative tests. Surgical excision is preferred, but care must be taken to avoid harming a potential co-existing intrauterine pregnancy.
Area of Science:
- Reproductive Medicine
- Gynecologic Pathology
Background:
- Ovarian pregnancy is a rare condition with poorly established pathophysiology, diagnosis, and treatment protocols.
- Existing literature lacks comprehensive guidelines for managing ovarian pregnancy.
Purpose of the Study:
- To review and synthesize case reports on ovarian pregnancy to better understand its characteristics and management.
- To provide recommendations for diagnosis and treatment, emphasizing the potential for co-existing intrauterine pregnancies.
Main Methods:
- Systematic review of PubMed case reports on ovarian pregnancy from November 2011 to November 2022.
- Inclusion of two additional case reports, totaling 84 cases for analysis.
Main Results:
- 8% of ovarian pregnancies occurred in women with absent or blocked fallopian tubes.
- 23% of cases were located contralateral to the corpus luteum.
- Non-specific symptoms necessitate high clinical suspicion for abdominal bleeding cases.
Conclusions:
- Ovarian pregnancy should be suspected in women with abdominal bleeding, irrespective of pregnancy test results or ultrasonographic findings.
- Surgical excision is the primary treatment, requiring meticulous surgical technique to preserve any concurrent intrauterine pregnancy.
- Laparoscopy is indicated, with surgeons needing to be vigilant about preserving intrauterine pregnancy viability during the procedure.
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