Korean J Obstet Gynecol.  2012 Feb;55(2):127-131. 10.5468/KJOG.2012.55.2.127.

Case series of primary ovarian pregnancy

• Hwang HS
• Cho GJ
• Jin CH
• Oh MJ

• KMID: 2078127
• DOI: http://doi.org/10.5468/KJOG.2012.55.2.127

Abstract

Ovarian pregnancy is a rare form of ectopic pregnancy, and is most difficult to diagnosis before surgery. This study was conducted as a retrospective cohort series of women presenting to Korea University Medical Center between January 2000 and July 2011 in whom a diagnosis of ovarian pregnancy was made. We had total 7 cases of ovarian pregnancies between January 2000 and July 2011 at Korea University Medical Center. The mean age of the 7 ovarian pregnancy cases was 33.0 years (range, 22 to 42 years), mean parity was 1.0 (range, 0 to 3), mean gestational age at diagnosis was 8.0 (range, 5.6 to 12.4 weeks), and mean initial beta human chorionic gonadotropin (HCG) was 1,195.49 mIU/mL (range, 200.5 to 2,098.201 mIU/mL). The beta HCG level was lower remarkably in ovarian pregnancy group than in the tubal pregnancy group, and further study may be needed to find out the correlation between beta HCG level and ovarian pregnancy.

Keyword

Ovarian pregnancy; Ectopic pregnancy

MeSH Terms

Academic Medical Centers
Chorionic Gonadotropin
Cohort Studies
Female
Gestational Age
Humans
Korea
Parity
Pregnancy
Pregnancy, Ectopic
Pregnancy, Tubal
Retrospective Studies
Chorionic Gonadotropin

Figure

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  Fig. 1 Intraoperative view of left ovarian pregnancy.

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  Fig. 2 Histopathology pictures of the specimen taken from the ovarian mass, showing chorionic vill which is the evidence of the product of conception (H&E, ×200).

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  Fig. 3 Intraoperative view of right ovarian pregnancy.

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  Fig. 4 Histopathology pictures of the specimen taken from the ovarian mass, showing benign trophobalst of ovarian pregnancy (H&E, ×200).

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