title: Failed medical management in ovarian pregnancy despite favorable prognostic factors--a case report.
abstract: Primary ovarian pregnancy is a rare form of ectopic pregnancy that must be demonstrated with use of 4 Spiegelberg criteria. It is usually diagnosed at laparotomy or laparoscopy, although it may resemble a hemorrhagic corpus luteum. Successful conservative management of ovarian pregnancy with methotrexate has been reported only occasionally. This may be partly because of the rarity of this condition and partly because when medical treatment is successful, the patient does not need to undergo laparotomy or laparoscopy, and an occasional ovarian pregnancy may have been diagnosed as a tubal pregnancy. We present a case of ovarian pregnancy (diagnosed at laparotomy) for which initial medical management with methotrexate failed despite favorable prognostic factors. Whether the unusual location (ovary) could have contributed toward treatment failure is unknown.
authors.affiliation: Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India. rashmibagga@gmail.com
authors.forename: Rashmi
authors.initials: R
authors.lastname: Bagga
authors.forename: Vanita
authors.initials: V
authors.lastname: Suri
authors.forename: Preeti
authors.initials: P
authors.lastname: Verma
authors.forename: Seema
authors.initials: S
authors.lastname: Chopra
authors.forename: Jasvinder
authors.initials: J
authors.lastname: Kalra
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use*; D000328:Adult; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000188:drug therapy*; D011379:Prognosis; D017211:Treatment Failure
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate