title: Unruptured second-trimester ovarian pregnancy.
abstract: Ovarian ectopic pregnancies are rare, with the majority diagnosed in the first trimester and often treated due to symptoms related to ovarian rupture. We report our experience with the diagnosis, management, and histologic evaluation of an unruptured second-trimester ovarian ectopic pregnancy. A 37-year-old woman presented with vague abdominal discomfort and irregular menses. Ultrasound detected a 16-week 4-day gestation with cardiac motion in the right adnexa and no evidence of an intrauterine pregnancy. Laparotomy with right salpingo-oophorectomy was performed, with removal of an unruptured pregnancy from the ovary. Although intraoperative examination and postoperative histopathologic evaluation demonstrated the classic Speigelberg criteria, it did not assist in the preoperative diagnosis, nor impact the treatment of the ovarian ectopic pregnancy in this case.
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Kyler E
authors.initials: KE
authors.lastname: Elwell
authors.affiliation: Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Sailors
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Denson
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Barbara
authors.initials: B
authors.lastname: Hoffman
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Clifford Y
authors.initials: CY
authors.lastname: Wai
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007813:Laparotomy; D010052:Ovariectomy; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D065172:Pregnancy, Ovarian / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal
keywords: Speigelberg; ectopic pregnancy; ovarian pregnancy