Zentralbl Gynakol 2001; 123(3): 162-164
DOI: 10.1055/s-2001-12528
Kasuistiken

J.A.Barth Verlag in Medizinverlage Heidelberg GmbH & Co.KG

Laparoscopic management of consecutive ovarian pregnancy in a patient with infertility

Laparoskopisches Management aufeinanderfolgender Ovarialgravidität bei einer Patientin mit FertilitätsstörungenM. Terzić1 , B. Štimec2 , S. Maričić1
  • 1Department of Ob/Gyn, School of Medicine, University of Belgrade, Yugoslavia
  • 2Institute for Anatomy, School of Medicine, University of Belgrade, Yugoslavia
Further Information

Publication History

Publication Date:
31 December 2001 (online)

Summary

The diagnosis of ovarian pregnancy is based on the improper rise of serum beta-hCG levels, sonographic findings of an empty uterus, highly characteristic ovarian formation with double hyperechogenic ring surrounding small hypoechogenic field, and the laparoscopic verification of Spiegelberg's criteria. We present a case of ovarian pregnancy in spontaneous cycle in 34-year-old woman following two unsuccessful IVF/ET procedures and ovarian pregnancy on contralateral side laparoscopically treated seven months ago, also achieved in non-stimulated, spontaneous cycle. On admission she had a serum hCG level of 596 mIU/mL on cycle day 46 and an empty uterus. Transvaginal sonography showed a 20 mm ring-like thick-walled hyperechogenic structure within the left ovary. The echogenic ring was surrounded by irregular, hypoechogenic structures suggestive of an ovarian pregnancy with periluteal hemorrhage and blood clots. The ruptured cystic ovarian pregnancy and the corpus luteum were removed by laparoscopy. During the procedure we have seen two clips on the right ovary placed laparoscopically to achieve hemostasis after rupture of the ovarian pregnancy seven months ago. Histopathology showed isolated chorionic villi within hemorrhagic areas in the vicinity of the corpus luteum.

Laparoskopisches Management aufeinanderfolgender Ovarialgravidität bei einer Patientin mit Fertilitätsstörungen

Zusammenfassung

Wir berichten den Fall einer 34jährigen Patientin mit Ovarialgravidität nach nicht-erfolgreicher IVF-Behandlung. Sieben Monate vorher war bei der Patientin auf der kontralateralen Seite ebenfalls eine Ovarialgravidität laparoskopisch behandelt worden.

MeSH

C13.703 pregnancy complications

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Ass. Prof. Milan M. TerzićMD, MSc, PhD, Ob/Gyn 

Dept. of Ob/Gyn, School of Medicine
University of Belgrade

11000 BelgradeYugoslavia

Višegradska 26