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
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Peritoneal Effusion
The level of beta human chorionic gonadotropin was 96702 milli-international Units/ milliliter and ultrasound revealed an intra-ovarian gestational sac, an empty uterus and no peritoneal effusion. [ncbi.nlm.nih.gov]
Ultrasonography revealed a heterogenous left ovarian mass of 82 millimeters in diameter, an empty uterus and no peritoneal effusion. This comforted our first diagnosis. [panafrican-med-journal.com]
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Lymphadenopathy
Role of imaging is to confirm the clinical suspicion and to rule out other associated causes of pain in that region, like ureteric calculus, lymphadenopathy, colitis and even appendicitis or abscess. [jmgims.co.in]
Gastrointestinal
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Regurgitation
Secondary occurs when fertilization takes place in the tube and the conceptus is later regurgitated to be implanted in the ovarian stroma. [ijpmonline.org]
Primary when ovum is fertilized while still within the follicle, secondary when fertilization takes place in the tube and the conceptus is later regurgitated to be implanted in the ovarian stroma. They can be intrafollicular or extrafollicular. [ojhas.org]
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Food Poisoning
I actually thought it was food poisoning at first. I was about 7 weeks along at this point. They did an ultrasound and found it to be ectopic. They didn't know it was growing on my ovary until during the surgery. [babycenter.com]
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Abdominal Tenderness
tenderness Abdominal 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
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Behavior Disorder
) Type 2 Excludes mental and behavioral disorders associated with the puerperium ( F53.- ) obstetrical tetanus ( A34 ) postpartum necrosis of pituitary gland ( E23.0 ) puerperal osteomalacia ( M83.0 ) Use Additional code from category Z3A, Weeks of [icd10data.com]
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Denial
With Mayer's 1845 denial that ovarian pregnancy could exist, physicians began taking more care in their descriptions and analysis of cases. [en.wikipedia.org]
Neurologic
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Giddiness
Ovarian pregnancy usually ends in rupture during the first trimester in 91% cases, 5.3% in the second trimester and 3.7% in the third trimester. [7] Cases of ruptured ovarian pregnancy with hemoperitoneum present with severe lower abdominal pain and giddiness [ijabmr.org]
Urogenital
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Cervical Motion Tenderness
On per vaginum examination no cervical motion tenderness, normal sized anteverted uterus with backward cervix, mildly tender full right fornix was present. [casereports.in]
Vaginal examination showed normal uterine size and no cervical motion tenderness, whereas pain at deep palpation of the right fornix was revealed. On investigation, serum βhCG was 11368 mU/L, Hb% was 10.6g%. [ncbi.nlm.nih.gov]
Workup
Ultrasound
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Ovarian Mass
In these cases where there is a suspected ovarian mass and no clear diagnosis a laparoscopic approach should be considered. [ncbi.nlm.nih.gov]
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]
Prognosis
Moreover, its low risk of adhesion formation is important with regard to reproductive prognosis: in the light of this, since the patients are generally young and desire future childbearing, laparoscopy may be the treatment of choice. [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]
Additional code from category O08 to identify any associated complication Ectopic pregnancy Approximate Synonyms Combined intrauterine and ovarian pregnancy Ovarian pregnancy with intrauterine pregnancy Clinical Information An ectopic pregnancy of unknown etiology [icd10data.com]
Epidemiology
See: 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]
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]
Tarlatzis, B.C. et al. ( 1997 ) Intrafollicular ovarian pregnancy after ovulation induction/intrauterine insemination: pathophysiological aspects and diagnostic problems. Hum. Reprod., 12, 376 –378. [academic.oup.com]
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]
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]
Both cases were incredibly challenging and required a multi-team approach to prevent maternal injury." Click here to read more about this story from Northern Territory News. The Associated Press contributed to this story. [foxnews.com]