A case of primary ovarian pregnancy.

Her, In Seok; Rhee, Jung Hwan; Cho, Chool Hyun; Kim, Jin; Kang, Heang Ji

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(2):495-499.
Published online February 1, 2005.

A case of primary ovarian pregnancy.

In Seok Her, Jung Hwan Rhee, Chool Hyun Cho, Jin Kim, Heang Ji Kang

¹Department of Obstetrics and Gynecology, Seoul Adventist Hospital, Seoul, Korea. isisher@unitel.co.kr
²Department of Pathology, Seoul Adventist Hospital, Seoul, Korea.

Abstract

Ovarian pregnancy is comparatively rare form of ectopic pregnancy. Although earlier diagnosis is now possible due to the availability of quantitative beta-hCG measurement and the development of transvaginal ultrasonograghy, it is mostly difficult to diagnosis before surgery, and frequently misdiagnosed as a ruptured corpus luteum accompanied with massive hemoperitoneum. Definite diagnosis is made only by cytopathologic examination of tissue specimen. The treatment of ovarian pregnancy has been operative management including oophorectomy, salpingo-oophorectomy and ovarian wedge resection. But recently conservative management using laparoscopic technique has become the preferred treatment. We have experienced a case of primary ovarian pregnancy and reviewed it briefly.

Key Words: Ovarian pregnancy