Ovarian ectopic pregnancy: diagnosis, treatment, correlation to Carnegie stage 16 and review based on a clinical case.
OBJECTIVE
To present a case of a vital ectopic pregnancy after 8 weeks that was located in the right ovary.


METHODS
Case study and literature review.


METHODS
Hospital outpatient clinic.


METHODS
A 29-year-old primigravida presented with lower abdominal pain and mild vaginal bleeding at 8 weeks after her last menstrual period.


METHODS
Wedge resection of the ovary which did not affect subsequent fertility.


METHODS
Conservative treatment options and preservation of patient's reproductive capacity.


RESULTS
The embryo was laparoscopically removed in toto and visualized. Therefore, macroscopic correlation to Carnegie stage 16 of development was possible.


CONCLUSIONS
Approximately 3% of all ectopic pregnancies are located in the ovaries. Preoperative diagnosis of this extremely rare condition is challenging, because the ectopic tumor often resembles cysts of the corpus luteum. At surgery, the trophoblast tissue or the embryo can rarely be visualized completely.
Kraemer
Bernhard
B
University Hospital for Women, Calwerstrasse 7, Tuebingen, Germany. bernhard.kraemer@med.uni-tuebingen.de
Kraemer
Elizabeth
E
Guengoer
Ersin
E
Juhasz-Boess
Ingolf
I
Solomayer
Erich-Franz
EF
Wallwiener
Diethelm
D
Rajab
Taufiek Konrad
TK
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010053:Ovary / Q000473:pathology / Q000601:surgery*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging