Ovarian Pregnancy: Two Cases Report.

Kim, Min Woo; Hyoung, Woo Jin; Kim, Min Kyoung; Chang, Doo Young; Jeon, Myung Kwon; Lee, Eung Soo

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(3):788-793.
Published online March 1, 2005.

Ovarian Pregnancy: Two Cases Report.

Min Woo Kim, Woo Jin Hyoung, Min Kyoung Kim, Doo Young Chang, Myung Kwon Jeon, Eung Soo Lee

¹Department of Obstetrics and Gynecology, Inje University, College of Medicine, Ilsan Paik Hospital, Goyang, Gyeonggi, Korea. doogie@ilsanpaik.ac.kr
²Department of Pathology, Inje University, College of Medicine, Ilsan Paik Hospital, Goyang, Gyeonggi, Korea.

Abstract

Ovarian pregnancy is an uncommon variant of ectopic pregnancy. Spiegelberg's criteria should be fulfilled for the diagnosis of ovarian pregnancy. The reported incidence is 0.5-3% of all ectopic pregnancies. The reported frequency of ovarian pregnancies remained stable. It seems that the frequency is underestimated because some of the suspected tubal pregnancies treated conservatively with methotrexate, without laparoscopic validation, are in fact early ovarian pregnancy. The improvements in ultrasonography, methods for hCG detection, and operative laparoscopy have led to earlier and more accurate diagnosis of ovarian pregnancies. The therapy of ovarian pregnancy is surgical in the first place, and medical treatment with systemic or local methotrexate injection can be applicable after confirming diagnosis of ovarian pregnancy by laparoscopy, in women in a stable condition. Two cases of histologically proven primary ovarian pregnancy are presented with brief review of literature.

Key Words: Ovarian pregnancy