IMR Press / CEOG / Volume 43 / Issue 6 / DOI: 10.12891/ceog3110.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Clinical analysis of 95 cases with ovarian pregnancy
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1 Department of Obstetrics and Gynecology, Nanshan Affiliated Hospital of Guangdong Medical College, Shenzhen (China)
Clin. Exp. Obstet. Gynecol. 2016, 43(6), 871–874; https://doi.org/10.12891/ceog3110.2016
Published: 10 December 2016
Abstract

Background: Ovarian pregnancy (OP) is a rare ectopic pregnancy, in which it is very difficult to achieve preoperative diagnosis. Ovarian blood supply in OP increases which will lead to intra-abdominal bleeding, hazarding women’s lives. Surgical exploration should be conducted once cases of OP are suspected. Objective: To investigate clinical characteristics, diagnosis, and therapy of OP. Materials and Methods: A retrospective study was conducted in 95 patients with OP admitted to the present hospital from January 2005 to June 2014. Results: OP accounted for 1.79% of ectopic pregnancy over the same period, of which 68.4% had a history of artificial abortion, 6.3% was treated with intrauterine contraceptive device (IUD), 87.4% had abdominal pain, 84.2% had a history of menopause, and 51.6% had vaginal bleeding. All patients had no preoperative diagnosis and underwent laparoscopic wedge resection of ovary or lesionectomy and were all were cured. Conclusion: Since the cause of OP is still unknown and it has no typical clinical manifestations, the present authors adopt blood β-hCG combined with B-ultrasound to improve the preoperative diagnosis. They prefer laparoscopic wedge resection of ovary or lesionectomy, which induce higher rate of intrauterine pregnancy and lower rates of ectopic pregnancy and infertility in re-pregnancy after surgery.
Keywords
Ovarian pregnancy
Clinical characteristics
Wedge resection of ovary
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