Presentation
Presenting symptoms were similar to those of tubal pregnancies including circulatory collapse which was present in 4/19 (21%) of patients. Culdocentesis for diagnostic purposes, has become an unnecessary procedure. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
pain in this area. [pregnancycorner.com]
Ovarian or other abdominal pregnancies, even untruptured, may be discriminated from other lesions in cases of abdominal pain by peritoneal washing cytology. [ncbi.nlm.nih.gov]
Pain relievers : Anti-inflammatory medication such as ibuprofen (for example, Advil) may help reduce pelvic pain. Narcotic pain medications by prescription may relieve severe pain caused by ovarian cysts. [emedicinehealth.com]
It is almost a constant pain and I was told if the pain gets worst or if there's blood, to contact the office. I have another appointment in 2 weeks. [medicinenet.com]
- Surgical Procedure
In contrast to patients with tubal pregnancies, traditional risk factors, such as pelvic inflammatory disease and prior surgical procedure upon the pelvis, may not play a role in the aetiology. [ncbi.nlm.nih.gov]
In this surgical procedure, the doctor inserts a thin needle through the abdomen (laparoscopically) and cauterizes (burns) small areas of the ovaries to lower the levels of male hormones they produce. [whattoexpect.com]
In contrast to women with tubal pregnancies, well-known risk factors such as pelvic inflammatory disease and prior pelvic surgical procedures might not play a role in the etiology of ovarian pregnancy. [termedia.pl]
- Fatigue
Symptoms of ovarian cancer include: abdominal bloating, pressure, and pain upset stomach heartburn difficulty eating feeling full too soon while eating urinating frequently, sometimes with urgency fatigue back pain constipation Some of these symptoms [healthline.com]
I didn't think the problem was serious, but I was completely frustrated that doctors couldn't find the cause of my fatigue and bloating. [marieclaire.com]
Fatigue Hair loss The side effects and complication of chemotherapy, however, are usually far outweighed by the survival benefits of these treatments. [ovariancancer.about.com]
- First Trimester Pregnancy
Implantation elsewhere is considered ectopic and comprises 1 to 2 percent of all first-trimester pregnancies in the United States. [accessmedicine.mhmedical.com]
First trimester pregnancy with ovarian mass in case 1 Figure 3 Figure 2. Second trimester pregnancy with ovarian mass in case 2. Figure 4 Figure 3. Ultrasound suggestive of dermoid cyst in case 4 Figure 5 Figure 4. [ispub.com]
US is very sensitive and specific in differentiating between normal and abnormal pregnancies in the first trimester (, 13 ). [doi.org]
- Underweight
Mothers who are underweight are more likely to deliver immature babies who, by virtue of their physiologic immaturity, are more likely to suffer from birth defects, hyaline membrane disease, and other developmental disorders of the newborn. [medical-dictionary.thefreedictionary.com]
Respiratoric
- Aspiration
We describe a unique clinical case involving successful treatment of an ovarian heterotopic pregnancy through gestational sac aspiration and injection of hyperosmolar glucose. [ncbi.nlm.nih.gov]
The ectopic tissue was aspirated laparoscopically while conserving more than 50% of the ovary. The ovarian pregnancy was also confirmed histologically. [fertilityscienceresearch.org]
A higher prevalence of pre-eclampsia and gestational diabetes may account for increased fetal stress leading to preterm birth, low Apgar scores at five minutes, and meconium aspiration. [bmj.com]
Gastrointestinal
- Abdominal Pain
Ovarian or other abdominal pregnancies, even untruptured, may be discriminated from other lesions in cases of abdominal pain by peritoneal washing cytology. [ncbi.nlm.nih.gov]
- Lower Abdominal Pain
A 19-year-old woman was admitted with vaginal bleeding and right lower abdominal pain. She had a history of right partial salpingectomy caused by a tubal pregnancy. [ncbi.nlm.nih.gov]
- Severe Abdominal Pain
She admitted with severe abdominal pain in hypogastric area. Pain was continues and radiated to left shoulder. Her last menstrual period (LMP) was 2 months ago and her menstruation cycle was regular. [ncbi.nlm.nih.gov]
Since beta-HCG showed decreased levels, and patient did not complain abdominal pain anymore she was planned to discharge. But she suddenly complained severe abdominal pain. [synapse.koreamed.org]
Call your doctor immediately if you have heavy vaginal bleeding that causes lightheadedness, fainting, or shoulder pain, or if you have any severe abdominal pain, especially if it is on one side of the belly. [webmd.com]
They can also cause the ovary to twist on a stalk (a condition known as ovarian torsion), compromising the blood supply and causing severe abdominal pain. [emedicinehealth.com]
At 9 weeks of gestation, the patient presented with severe abdominal pain with mild vaginal bleeding since a day. Serum β-human chorionic gonadotropin (β-hCG) concentration was 7,843 IU/L. [fertilityscienceresearch.org]
- Abdominal Distension
On examination she was pale and per abdomen examination showed abdominal distension, tenderness, guarding, and shifting dullness. Per vaginal (P/V) examination showed tenderness in the fornices. [ijpmonline.org]
distension Bloating Feeling of abdominal fullness Heartburn Indigestion Feeling full early when eating Problems with the control of urination A ruptured ovarian cyst typically causes severe pain that comes on suddenly. [emedicinehealth.com]
Psychiatrical
- Suggestibility
This report suggests an alternative for dealing with the diagnostic dilemma of differentiating an ovarian pregnancy from a ruptured CL cyst and suggests a conservative management approach that will possibly minimize adhesion formation and optimize future [ncbi.nlm.nih.gov]
Urogenital
- Vaginal Bleeding
A 19-year-old woman was admitted with vaginal bleeding and right lower abdominal pain. She had a history of right partial salpingectomy caused by a tubal pregnancy. [ncbi.nlm.nih.gov]
Workup
Ultrasound
- Ovarian Mass
An ovarian mass in a premenopausal patient has many differential diagnoses. In young patients the mass is most likely to be benign. Sometimes patients with an abdominal mass will present as acute abdomen. [ncbi.nlm.nih.gov]
Vaginal examination detected an ovarian mass with pregnant uterus. The ovarian mass was unchanged from previous scan to admission scan. [ispub.com]
Treatment
Laparoscopy is invaluable, as diagnosis and treatment can be carried out as a single treatment. Laparoscopic wedge resection is the treatment of choice. The relation between IUD use and ovarian pregnancies is still strong. [ncbi.nlm.nih.gov]
Treatment Options There are two basic types of treatments for ovarian cancer: Local Treatments: Treatments such as surgery and radiation therapy are local treatments. [ovariancancer.about.com]
Prognosis
Ovarian tumors of low malignant potential have an excellent prognosis and are treated surgically, without chemotherapy, in most patients. [oncologynurseadvisor.com]
Patients with an ovarian pregnancy have a good prognosis for future fertility and therefore conservative surgical management is advocated. The approach and treatment modalities of an ovarian pregnancy are discussed. [ncbi.nlm.nih.gov]
Pathogenesis is debated and lies between: fertilisation of the ovum in the distal fallopian tube and secondary implantation within the ovary failure of extrusion of the follicle Treatment and prognosis Medical management has been reported, but realistically [radiopaedia.org]
Etiology
Primary ovarian pregnancy which is a rare form of ectopic pregnancy, was reviewed according to etiology, pathogenesis and improvements in diagnosis and therapy. In this article, our case was multiparous and used intrauterine device for 5 years. [ncbi.nlm.nih.gov]
Clinical Information An ectopic pregnancy of unknown etiology that occurs in the ovary instead of the uterine corpus. [icd9data.com]
The etiology, presenting syndrome and management are discussed. Keywords Ovarian pregnancy Tubal torsion Laparoscopy This is a preview of subscription content, log in to check access. Notes Acknowledgements. We would like to thank Dr. [link.springer.com]
Epidemiology
See: http://creativecommons.org/licenses/by-nc/4.0/ Statistics from Altmetric.com EPIDEMIOLOGY GYNAECOLOGY Strengths and limitations of this study The present study was the first to explore risk factors for ovarian pregnancy (OP). [bmjopen.bmj.com]
[…] in obstetrics and gynaecology 2 1 Department of Women’s and Children’s Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, Karolinska University Hospital, H2:01, SE-171 76 Stockholm, Sweden 2 Department of Medicine, Solna, Clinical Epidemiology [bmj.com]
Pathophysiology
Moreover, the pathophysiology of ovarian and especially intrafollicular implantation is reviewed. [ncbi.nlm.nih.gov]
Its pathophysiology is not fully understood. This entity is very rare and accounts for 0.5 to 3% of all ectopic pregnancies and 1/1543 to1/7000 of all live births [ 1, 2 ]. To our knowledge, no case has been reported in Cameroon. [panafrican-med-journal.com]
Intrafollicular ovarian pregnancy after ovulation induction/intrauterine insemination: Pathophysiological aspects and diagnostic problems. Hum Reprod 1997;12:376-8. 3. [jmgims.co.in]
Possible pathophysiological mechanisms The pathophysiological mechanisms behind the increased risk of adverse pregnancy outcomes among women with polycystic ovary syndrome are not fully known. [bmj.com]
Intrafollicular ovarian pregnancy after ovulation induction/intrauterine insemination: pathophysiological aspects and diagnostic problems. Hum Reprod 1997; 12: 376-8. 4. Shibahara H, Funabiki M, Shiotani T, et al. [termedia.pl]
Prevention
Etoposide, given intravenously at a dose of 100 mg daily for 5 days, prevented massive bleeding during the procedure that was subsequently performed to separate the placenta. [ncbi.nlm.nih.gov]
Prevention Measures Pelvic examinations conducted regularly can detect the sizes of the ovary although there are no definitive ways to prevent the cyst growth. [newkidscenter.com]
The Ectopic Pregnancy Trust believes that the deaths and trauma associated with ectopic pregnancy should be prevented or minimised and seeks to support women and their families through this difficult period of their lives. [ectopic.org.uk]
There is no cure for PCOS, but it can be managed so that other problems are prevented. The treatment plan is determined by the symptoms that a woman is experiencing. [americanpregnancy.org]