Obstet Gynecol Sci.  2020 Mar;63(2):209-212. 10.5468/ogs.2020.63.2.209.

Ovarian pregnancy rupture in second trimester manifesting mental change in pregnancy: a case report

Affiliations
  • 1Department of Obstetrics and Gynecology, Ilsan-Paik Hospital, Inje University College of Medicine, Goyang, Korea. kcchun@paik.ac.kr

Abstract

Ovarian pregnancies comprise approximately 3% of ectopic pregnancies. Moreover, ovarian pregnancies in the second trimester are extremely rare. We herein present a case of ruptured ovarian pregnancy in the second trimester. A 26-year-old Asian woman presented to our hospital complaining of an abrupt mental change. She was pregnant; however, she had not been receiving antenatal care. Her initial vital signs were unstable, and pelvic ultrasound revealed pelvic fluid collection. We analyzed the hemoperitoneum and performed exploratory laparotomy. When her abdomen was opened, we observed that her right ovary was ruptured. Placental cord insertion originated from the ovary, and a fetus was found in the pelvic cavity. The ovarian pregnancy was detected in a delayed state. Pregnant women require appropriate antenatal care, and pelvic ultrasound should be performed in the second trimester to ensure that the fetus is in the intrauterine cavity.

Keyword

Pregnancy, ovarian; Pregnancy trimester, second

MeSH Terms

Abdomen
Adult
Asian Continental Ancestry Group
Female
Fetus
Hemoperitoneum
Humans
Laparotomy
Ovary
Pregnancy
Pregnancy Trimester, Second*
Pregnancy*
Pregnancy, Ectopic
Pregnancy, Ovarian*
Pregnant Women
Rupture*
Ultrasonography
Vital Signs
Full Text Links
  • OGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error