Successful laparoscopic treatment of a ruptured primary ovarian pregnancy.
A 26-year-old woman had classic symptoms of primary ovarian pregnancy. Ultrasound examination disclosed a cystic mass surrounded by a complex mass that was compatible with hematoma in the pouch of Douglas, as well as an intrauterine device (IUD) displaced near the isthmic portion of the uterine cavity. Laparoscopy revealed a ruptured gestational sac in the cul-de-sac that was encapsulated by a hematoma originating from the right ovary. All deep-seated products of conception were excised from the ovary, and the IUD was removed. Treatment was successful and avoided more invasive intervention.
Erenus
Mithat
M
Department of Obstetrics and Gynecology, University of Marmara School of Medicine, Istanbul, Turkey.
Gokaslan
Husnu
H
Ozer
Kamer
K
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007434:Intrauterine Devices; D010535:Laparoscopy; D010053:Ovary; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000601:surgery*; D012422:Rupture, Spontaneous