Complex Ovarian Pregnancy

作者：Chiapponi Costanza^*; Trifoglio Oria; Chiapponi Roberto

来源：Obstetrics and Gynecology, 2012, 119(2): 478-479.

DOI：10.1097/AOG.0b013e318236f00e

BACKGROUND: Ovarian pregnancy is a rare occurrence. Normally it ends spontaneously in the first trimester. However, it can turn into a life-threatening condition if it ruptures, leading to hemoperitoneum and hypovolemic shock. Diagnosis usually is made with high-resolution transvaginal ultrasonography, and laparoscopic treatment follows.
CASE: We report on a case of ovarian pregnancy seen in the southeast of Madagascar. Laparotomy revealed the presence of a fully developed, mummified fetus in the right ovary. Surprisingly, the ovary capsule had not ruptured and the patient had no complaints or signs of intra-abdominal bleeding.
CONCLUSION: In rare cases, an aborted ovarian pregnancy can persist for years, producing no symptoms except abdominal swelling. (Obstet Gynecol 2012;119:478-9) DOI: 10.1097/AOG.0b013e318236f00e

• 出版日期2012-2