Medical management of an ovarian ectopic pregnancy: a case report
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Date
2015
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Abstract
Background: Primary ovarian ectopic pregnancy is a rare type of ectopic pregnancy which has an estimated prevalence ranging from 1:7000 to 1:70,000 accounting for almost 3 % of all ectopic cases. Here we report the case of a 25-year-old woman who presented to our clinic with abdominal pain, 6 weeks' delay of menstruation and 3 days of vaginal bleeding, whose transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. This case shows that early diagnosis is very important particularly in places like the Sub-Saharan region of Africa. Case presentation: A 25-year-old African woman was referred to our clinic with 6 weeks' delay of menstruation, frequent increasing abdominal pain and 3 days of vaginal bleeding. Her general condition was good and her vital signs were normal. She felt tenderness in an abdominal examination and had a small amount of vaginal bleeding. Transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. Our final diagnosis was ectopic ovarian pregnancy and we successfully treated her with methotrexate. After 3 weeks of methotrexate administration her beta human chorionic gonadotropin was negative and a sonographic examination was completely normal. Conclusions: Ectopic ovarian pregnancy is a very important medical situation. It should be diagnosed in its early stages otherwise it could be life-threatening and surgical treatment may be inevitable. Because of the importance of fertility, medical treatment is an acceptable option and can be feasible with early diagnosis. © 2015 Birge et al.
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Abdominal Pain , Abortifacient Agents , Adult , Chorionic Gonadotropin, beta Subunit, Human , Female , Humans , Injections, Intramuscular , Methotrexate , Ovary , Pregnancy , Pregnancy, Ectopic , Treatment Outcome , Ultrasonography , Uterine Hemorrhage , chorionic gonadotropin beta subunit , methotrexate , abortive agent , chorionic gonadotropin beta subunit , methotrexate , abdominal mass , abdominal pain , abdominal tenderness , adult , African , Article , case report , cesarean section , female , follow up , human , human cell , medical history , menstrual cycle , menstrual irregularity , obesity , ovary pregnancy , pelvis , physical examination , priority journal , single drug dose , transvaginal echography , uterine cervix disease , uterus cavity , vagina bleeding , vaginal speculum , young adult , abdominal pain , diagnostic imaging , echography , intramuscular drug administration , ovary , pathology , pregnancy , Pregnancy, Ectopic , treatment outcome , Uterine Hemorrhage