Preoperative diagnostic clues to ovarian pregnancy: retrospective chart review of women with ovarian and tubal pregnancy.
10.5468/ogs.2017.60.5.462
- Author:
Mi Rang SEO
1
;
Joong Sub CHOI
;
Jaeman BAE
;
Won Moo LEE
;
Jeong Min EOM
;
Eunhyun LEE
;
Jihyun KEUM
Author Information
1. Divisions of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, Seoul, Korea. choiyjjy1@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Ovarian pregnancy;
Tubal pregnancy;
Laparoscopy;
Hemoperitoneum
- MeSH:
Early Diagnosis;
Fallopian Tubes;
Female;
Gestational Sac;
Hemoperitoneum;
Humans;
Laparoscopy;
Pregnancy;
Pregnancy, Ovarian*;
Pregnancy, Tubal*;
Retrospective Studies*;
Rupture;
Ultrasonography;
Uterus
- From:Obstetrics & Gynecology Science
2017;60(5):462-468
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To analyze the preoperative diagnostic clues to ovarian pregnancy (OP). METHODS: This study conducted a retrospective chart review of 23 patients with OP and 46 patients with tubal pregnancy (TP) from October 1, 2003 to September 31, 2016 in Hanyang University Hospital. RESULTS: There were no significant differences in demographic and clinical characteristics between the two groups. The presence of an ectopic gestational sac and hemoperitoneum was significantly higher in the TP group (13.0% vs. 95.7%, P=0.000; 13.0% vs. 54.3%, P=0.001, respectively) in preoperative ultrasonogram. The OP group had more ruptured ectopic gestational sacs than the TP group (73.9% vs. 45.7%, P=0.039) in surgical findings. CONCLUSION: For the patients in whom a gestational sac is not detected in the uterus or the fallopian tubes, it is important to be aware of the possibility of OP and rupture of an ovarian gestational sac to promote early diagnosis and surgical intervention.
