RESUMO
Ovarian pregnancy is a rare event, with the incidence ranging from 1 in 2000 to 1 in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. The first case of ovarian pregnancy was published by Saint Monnisey. Authors report a case of a 23-year-old patient with severe lower abdominal pain following five weeks of amenorrhea diagnosed as tubal ectopic pregnancy on ultrasonography. The patient was taken up for emergency laparoscopy and unexpected finding of ovarian pregnancy was established. Early diagnosis and prompt treatment go a long way to prevent serious outcomes and to ensure favourable future reproductive potential.
RESUMO
Intrafollicular ovarian pregnancy is a rare event of ectopic pregnancy with a reported incidence of 1/7000-1/40000 pregnancies. Only 15% of cases of ovarian pregnancy are intrafollicular in origin. In spite of advances in clinical sciences diagnosis of ovarian pregnancy is diffi cult pre-operatively as it mimics hemorrhagic cyst, luteal cyst, and adnexal mass. Th e diagnostic criteria for ovarian pregnancy were described by Spiegelberg in 1878. Diagnosis of ovarian pregnancy should be suspected when the hemorrhagic mass is identifi ed near the ovary with normal fallopian tube during surgery of ectopic ovarian pregnancy. Th e classical management of ruptured ovarian pregnancy is surgical like any other ruptured ectopic pregnancy. Th e extent of surgery varies according to the amount of tissue destruction. Recent advances in the management of ovarian pregnancy are laparoscopic laser ablation and methotrexate for unruptured ovarian pregnancy.
RESUMO
Primary ovarian pregnancy is one of the rerest types of extrauterine pregnancy. But an increase in the reported prevalence of ovarian pregnancies was published in recent years. Three cases of ovarian pregnancy which have Spiegelberg criteria are presented with a brief review of literatures.