Three Cases of Primary Ovarian Pregnancy.

Lee, Hyuk Woo; Byun, Sang Kug; Park, Jae Chul; Jo, Yong Ho; Jung, Eui Sik

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(11):2081-2086.
Published online November 1, 2002.

Three Cases of Primary Ovarian Pregnancy.

Hyuk Woo Lee, Sang Kug Byun, Jae Chul Park, Yong Ho Jo, Eui Sik Jung

Department of Obstetrics and Gynecology, National Medical Center, Seoul, Korea.

Abstract

Primary ovarian pregnacy is a rare form of ectopic pregnacy of which an estimated overall incidence is highly variable, but improved diagnosis of acute hemoperitoneum of ovarian may reveal a higher incidence than reported earlier. Ovarian pregnancy is uaually accompanied with the rupture of the ovary and massive hemoperitoneum. It usually presents with abdominal pain, menstural irregularities, vaginal bleeding, a palpable adnexal mass and other symptoms which are very similar to those of tubal ectopic pregnacy and hemorrhgic corpus luteum cysts. Risk factors to ovarian pregnancy include a history of pelvic inflammatory disease (PID), prior pelvic surgery, and use of an intrauterine contraceptive devices (IUD). We have experienced three cases of ovarian pregnancy, which are presented with a brief review of the literature.

Key Words: ovarian pregnancy