Laparoscopic Management of Primary Ovarian Pregnancy

Authors

  • Samsad Jahan Department of Gynecology & Obstetrics, BIRDEM, Dhaka
  • Akter Jahan Govt. Homeopathic Medical College, Dhaka
  • Mehjabin Joarder Research Training Management International, Cox?s Bazar
  • Sekander Hayet Khan Refugee Health Unit, MOHFW, Cox?s Bazar
  • Samira Humaira Habib Health Economics Unit, BADAS, Dhaka
  • Parveen Akhter Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Nurun Nahar Department of Gynecology & Obstetrics, Comilla Medical College, Comilla
  • Rem Sen Gupta Department of Gynecology & Obstetrics, BIRDEM, Dhaka

Keywords:

Laparoscopy, Ovarian pregnancy, Transvaginal ultrasonography

Abstract

Background: Ectopic pregnancy (EP) is a leading cause of pregnancy-related death in early pregnancy increasing in incidence worldwide. Ovarian ectopic pregnancy (OP) comprises 0.15% of all pregnancies and 1% to 3% of ectopic gestations.

Case Report: A patient who was detected with OP was treated with laparoscopic surgery is described. The patient was admitted through emergency or outpatient department and managed by laparoscopy. The diagnosis of ovarian pregnancy was based on history, clinical symptoms, physical examination, a positive serum B-human chorionic gonadotropin (B-HCG), and transvaginal ultrasonography. Patient was informed pre-operatively about the surgical procedures. In the patient, ovarian wedge resection was performed to restore and preserve the ovarian tissue. There was no further therapeutic intervention in the follow-up course. Postoperative recovery period was normal.

Conclusion: Primary OP may occasionally occur in patients with a suspected EP. Signs and symptoms suggestive of extrauterine pregnancy, TVS, and serum ?-hCG dynamics can be a useful adjunct to allow the preoperative diagnosis of OP prior to the use of the diagnostic gold standard, diagnostic laparoscopy. Preservation of ovarian tissue should be the therapeutic goal to maintain ovarian reserve and preserve fertility in young women with OP.

DOI: http://dx.doi.org/10.11593/bje.2013.0102.0016

Bangladesh Journal of Endosurgery Vol.1(2) May 2013: 39-42

Downloads

Download data is not yet available.
Abstract
189
PDF
104

Downloads

Published

2013-07-30

How to Cite

Jahan, S., Jahan, A., Joarder, M., Khan, S. H., Habib, S. H., Akhter, P., Nahar, N., & Gupta, R. S. (2013). Laparoscopic Management of Primary Ovarian Pregnancy. Bangladesh Journal of Endosurgery, 1(2), 39–42. Retrieved from https://banglajol.info/index.php/BJE/article/view/15957

Issue

Vol. 1 No. 2 (2013)

Section

Original Articles

License

Authors of articles published in BJE retain the copyright of their articles and are free to reproduce and disseminate their work. A Copyright and License Agreement – signed and dated by the corresponding author on behalf of all authors – must be submitted with each manuscript submission.

Copyright Agreement Form

Bangladesh Journal of Endosurgery (BJE) copyright and license agreement:

Title of the Article:

Manuscript No:

In submitting a research article ('article') to Bangladesh Journal of Endosurgery (BJE) I certify that:

1. I am authorized by my co-authors to enter into these arrangements.

2. I warrant, on behalf of myself and my co-authors, that:

  1. the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
  2. I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to BJE are not in breach of any other obligation. If the law requires that the article be published in the public domain, I/we will notify BJE at the time of submission upon which clauses 3 through 6 inclusive do not apply;
  3. the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
  4. I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.

And I agree to the following license agreement:

BJE Open Access license agreement

Brief summary of the agreement

Anyone is free:

  • to copy, distribute, and display the work;
  • to make derivative works;
  • to make commercial use of the work;

Under the following conditions: Attribution

  • the original author must be given credit;
  • for any reuse or distribution, it must be made clear to others what the license terms of this work are;
  • any of these conditions can be waived if the authors gives permission.

Statutory fair use and other rights are in no way affected by the above.

Full BJE Open Access license agreement

(Identical to the 'Creative Commons Attribution License')

Authors Full Name:

Signature:

Date: