Ovarian Ectopic Pregnancy in an Asymptomatic Patient

Abstract

Ovarian pregnancy caused by the implantation of the fertilized ovum in the ovary is a rare type of ectopic pregnancy. In this study, our aim is to present an ovarian ectopic pregnancy case without any complaints except amenorrhea. A 34 year-old woman, gravida 2, para 1, was referred to our clinic with the diagnosis of ectopic pregnancy by the center which she had been admitted due to amenorrhea. She had no complaints and was clinically stable; however her pregnancy test was positive. Uterine bleeding was not observed and roughly 5 cm smooth edged and mobile right adnexal mass showing no tenderness with palpation was detected during pelvic examination. Transvaginal sonography showed that there was an endometrium in 25 mm thickness and there was no gestational sac. Left ovarian logy was normal, but an exitus embryo with a crown-rump length (CRL) measuring 11 mm (at 7 weeks, 2 days gestation) was detected on the right adnexal area. It was recorded that there was no fluid in the pouch of Douglas and the right ovary could not be distinguished. Laparoscopy was suggested and then laparoscopic right salpingo-oophorectomy was performed upon detection of ovarian pregnancy. Abdominal pain is the most frequent complaint in almost all ovarian ectopic pregnancy. Our patient is interesting because it is asymptomatic. The diagnosis of ovarian ectopic pregnancy is very difficult; patients may be asymptomatic and clinically stable. Ovarian ectopic pregnancy should be taken into consideration in the differential diagnosis of each ectopic pregnancy. The diagnosis is made surgically and histopathologically. Today, although laparoscopic conservative surgery is performed in the treatment, radical surgery may sometimes be required. [Cukurova Med J 2015; 40(Suppl 1): 42-46]

Keywords

• asymptomatic ectopic pregnancy
• laparoscopy
• ovarian
• salpingo-oophorectomy