Unruptured ovarian ectopic pregnancy: Two case reports and literature review

In clinical practice, ovarian pregnancy is extremely rare and is always found to be ruptured. A definitive diagnosis for ruptured ovarian pregnancy is difficult to obtain. We present two cases of unruptured ovarian pregnancies detected during laparoscopy and review existing literature to better unde...

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Main Authors: Fang Ren, Gang Liu, Tifang Wang, Meijun Li, Zhiqiang Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.1036365/full
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author Fang Ren
Gang Liu
Tifang Wang
Meijun Li
Zhiqiang Guo
author_facet Fang Ren
Gang Liu
Tifang Wang
Meijun Li
Zhiqiang Guo
author_sort Fang Ren
collection DOAJ
description In clinical practice, ovarian pregnancy is extremely rare and is always found to be ruptured. A definitive diagnosis for ruptured ovarian pregnancy is difficult to obtain. We present two cases of unruptured ovarian pregnancies detected during laparoscopy and review existing literature to better understand the clinical characteristics of ectopic pregnancies in this rare site. Intrauterine devices, assisted reproductive technology, and intrauterine operations are all high-risk factors in ovarian pregnancy. Moreover, menopause, abdominal pain, and vaginal bleeding are clinical manifestations. Ovarian pregnancy can be diagnosed using serum hCG, transvaginal ultrasound, and magnetic resonance imaging. Laparoscopy is the treatment of choice for ovarian pregnancy. It is recommended that the intact gestational sac be excised and the ovarian function be protected to the greatest extent possible during the operation. More definitive diagnosis of ovarian pregnancy must be reported in order to gain a better understanding of ovarian pregnancy.
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spelling doaj.art-9619b0f804064ca2bbf00654cd2569f32022-12-22T04:06:41ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-10-011310.3389/fphys.2022.10363651036365Unruptured ovarian ectopic pregnancy: Two case reports and literature reviewFang Ren0Gang Liu1Tifang Wang2Meijun Li3Zhiqiang Guo4Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Urology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaIn clinical practice, ovarian pregnancy is extremely rare and is always found to be ruptured. A definitive diagnosis for ruptured ovarian pregnancy is difficult to obtain. We present two cases of unruptured ovarian pregnancies detected during laparoscopy and review existing literature to better understand the clinical characteristics of ectopic pregnancies in this rare site. Intrauterine devices, assisted reproductive technology, and intrauterine operations are all high-risk factors in ovarian pregnancy. Moreover, menopause, abdominal pain, and vaginal bleeding are clinical manifestations. Ovarian pregnancy can be diagnosed using serum hCG, transvaginal ultrasound, and magnetic resonance imaging. Laparoscopy is the treatment of choice for ovarian pregnancy. It is recommended that the intact gestational sac be excised and the ovarian function be protected to the greatest extent possible during the operation. More definitive diagnosis of ovarian pregnancy must be reported in order to gain a better understanding of ovarian pregnancy.https://www.frontiersin.org/articles/10.3389/fphys.2022.1036365/fullovarian pregnancydiagnosistreatmentcase reportreview
spellingShingle Fang Ren
Gang Liu
Tifang Wang
Meijun Li
Zhiqiang Guo
Unruptured ovarian ectopic pregnancy: Two case reports and literature review
Frontiers in Physiology
ovarian pregnancy
diagnosis
treatment
case report
review
title Unruptured ovarian ectopic pregnancy: Two case reports and literature review
title_full Unruptured ovarian ectopic pregnancy: Two case reports and literature review
title_fullStr Unruptured ovarian ectopic pregnancy: Two case reports and literature review
title_full_unstemmed Unruptured ovarian ectopic pregnancy: Two case reports and literature review
title_short Unruptured ovarian ectopic pregnancy: Two case reports and literature review
title_sort unruptured ovarian ectopic pregnancy two case reports and literature review
topic ovarian pregnancy
diagnosis
treatment
case report
review
url https://www.frontiersin.org/articles/10.3389/fphys.2022.1036365/full
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AT tifangwang unrupturedovarianectopicpregnancytwocasereportsandliteraturereview
AT meijunli unrupturedovarianectopicpregnancytwocasereportsandliteraturereview
AT zhiqiangguo unrupturedovarianectopicpregnancytwocasereportsandliteraturereview