Ovarian ectopic pregnancy:a review article
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2017, Vol 3, Issue 4
Abstract
Ectopic pregnancy is a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies. Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2nd most common site of ectopic pregnancy after fallopian tube. Annual incidence of extra uterine cavity pregnancy is rising over past 3 yrs. The aim of our present study isto find outthe incidence of ovarian ectopic pregnancy, role of USG in pre-operative diagnosis and risk factors, feasibility of conservative management with medical method or conservative management e.g. minimal invasive surgery in developing countries like India. We analysed the incidence, management of ovarian pregnancy & reviewed the literature, risk factors andclinical presentation of ovarian ectopic pregnancies managed at NIMS Medical College and Hospital jaipur. According to Spielbergcriteria, it is a diagnostic challenge to obstetrician. Diagnosis of ectopic pregnancy can be missed radio logically and intraoperatively. It Should be suspected in patients presented with rupturedectopic pregnancy, ultrasound features suggestive of normal bilateralfallopian tube with hemo peritoneum with breached ovarian surface. Conservative surgical approach is preferred, now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathological report. Now days Medical management with single dose of Methotrexate is very successful for unruptured ovarian pregnancy
Authors and Affiliations
Pragati Meena, Poonam Bhojwani, Gajendra Singh Verma
Keywords
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- EP ID EP303895
- DOI 10.17511/jobg.2017.i4.06
- Views 173
- Downloads 0
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