title: Laparoscopic Surgery for Ovarian Pregnancy using Diathermy Hook with Conservation of Ovary: A Case Report and Literature Review.
abstract: A 31-year-old woman presented with a 7-week history of irregular vaginal bleeding without abdominal pain. She had been using the intrauterine contraceptive device (IUD) for the last 3 years. A pregnancy test was positive and subsequent serum beta human chorionic gonadotropin (β-HCG) was 4992 mIU/mL. A transvaginal ultrasound scan demonstrated an empty uterus with an associated adnexal mass but no free fluid. A right primary ovarian ectopic pregnancy was diagnosed a laparoscopy. This was managed laparoscopically using monopolar diathermy hook with conservation of the ovary and minimal blood loss. Ovarian pregnancy is rare, especially in women without the classical risk factors for tubal pregnancy, and efforts should be made to exclude ectopic pregnancy in the absence of abdominal pain in a woman of reproductive age presenting with prolonged and irregular vaginal bleeding. Methods to conserve the ovary are also encouraged in cases of ovarian pregnancy.
authors.affiliation: Division of Women's and Perinatal Services, Department of Obstetrics & Gynecology, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. alphagebeh@gmail.com.
authors.forename: Alpha K
authors.initials: AK
authors.lastname: Gebeh
authors.affiliation: Leeds Centre for Reproductive Medicine, Leeds Teaching Hospitals NHS Trust, Seacroft Hospital, York Road, Leeds, LS14 6UH, UK. akwasi.amoako12@gmail.com.
authors.forename: Akwasi A
authors.initials: AA
authors.lastname: Amoako
authors.affiliation: Division of Women's and Perinatal Services, Department of Obstetrics & Gynecology, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. olakanmi@aol.com.
authors.forename: Olakanmi
authors.initials: O
authors.lastname: Joseph
authors.affiliation: Division of Women's and Perinatal Services, Department of Obstetrics & Gynecology, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. asok.banerjee@uhl-tr.nhs.uk.
authors.forename: Asok
authors.initials: A
authors.lastname: Banerjee
keywords: diathermy hook; ectopic pregnancy; laparoscopic surgery; ovarian pregnancy