Right Ovarian Ectopic Pregnancy in Young Woman with History of Right Salpingectomy; A Rare Case Report

Document Type : Case Report

Authors

1 Assistant Professor, Department of Obstetrics and Gynecology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran

2 Assistant Professor, Department of General Surgery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran

3 Resident, Department of General Surgery, School of Medicine AND Endoscopic and Minimally Invasive Surgery Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

4 Instructor, Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran

Abstract

Background: Ovarian pregnancy is a rare form of ectopic pregnancy, and usually is diagnosed after complication. The most common risk factor for ovarian pregnancy is the use of the intrauterine devices (IUD).Case Report: Our patient was a 20-year-old woman with a history of salpingectomy, gravid 2, with one previous ectopic pregnancy presented with abdominal pain for one week, nausea, vomiting, and orthostatic hypotension. Beta-human chorionic gonadotropin (βhCG) was positive with a titer of 105000 mIU/ml. Sonography showed a uterus of normal size with no gestational sac, but an echogenic mass with size of 44 × 32 mm at the right adnexa, and with free fluid in abdomen was detected, ectopic pregnancy was suggested, and laparotomy was performed.Conclusion: In women that present with history of menstrual retard, abdominal pain, and spotting, ectopic pregnancy is the first differential diagnosis. Patient should be evaluated by checking βhCG and sonography, and be treated based on clinical examination and paraclinical evidence.

Keywords

References

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Journal of Isfahan Medical School
Volume 36, Issue 490 - Serial Number 490
July and August 2018
Pages 897-901

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History

  • Receive Date: 03 June 2018
  • Revise Date:
  • Accept Date: 06 April 2022

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