Korean J Obstet Gynecol.
2003 Sep;46(9):1720-1723.
Clinical Analysis of Ovarian Pregnancy
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea.
Abstract
OBJECTIVE
The frequency of ectopic pregnancy has been recently increased by various causes. Especially in ovarian pregnancy, definitive preoperative diagnostic criteria have not been established. This study is aimed to focus on helpful clinical characterstics which can later on serve as diagnostic key points in case of suspicious ovarian pregnancy.
METHODS
The study included 23 patients pathologically diagnosed with ovarian pregnancy from January 1991 to December 2002 in Kangnam St. Mary Hospital. We analyzed the age at diagnosis, pregnancy and delivery history, presence of underlying disease, clinical symptoms, therapeutic methods, human chorionic gonadotropin level, and sonographic findings for these patients.
RESULTS
The average age at diagnosis was 31.6 year and 39.1% of the patients were older than the age of 35. More than half of the patients had the history of multiple pregnancy (52.2%). The common clinical symptoms were lower abdominal pain (95.6%) and vaginal bleeding (21.8%). Ipsilateral ovarian wedge resection was performed at the most frequent rate (78.3%) and ipsilateral adnexectomy was done at second most frequent rate (21.7%). HCG level was measured on 19 cases showing various individual difference. Most common sonographic findings included the fluid stasis surrounding the ovarian pregnancy lesions and ipsilateral ovary enlargement (91.3%).
CONCLUSION
This study showed that ovarian pregnancy should be suspected in young woman. Of the age between 25 and 30 years, with symptom of lower abdominal pain, nulliparity, havior history of pelvic adhesion, pelvic inflammation, and showing sonographic findings of fluid collection around ovary or enlarged ovary.
