Medical management of an ovarian ectopic pregnancy: a case report

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dc.contributor.authorBirge O.
dc.contributor.authorErkan M.M.
dc.contributor.authorOzbey E.G.
dc.contributor.authorArslan D.
dc.date.accessioned2024-07-22T08:12:44Z
dc.date.available2024-07-22T08:12:44Z
dc.date.issued2015
dc.description.abstractBackground: 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.
dc.identifier.DOI-ID10.1186/s13256-015-0774-6
dc.identifier.issn17521947
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16164
dc.language.isoEnglish
dc.publisherBioMed Central
dc.rightsAll Open Access; Gold Open Access
dc.subjectAbdominal Pain
dc.subjectAbortifacient Agents
dc.subjectAdult
dc.subjectChorionic Gonadotropin, beta Subunit, Human
dc.subjectFemale
dc.subjectHumans
dc.subjectInjections, Intramuscular
dc.subjectMethotrexate
dc.subjectOvary
dc.subjectPregnancy
dc.subjectPregnancy, Ectopic
dc.subjectTreatment Outcome
dc.subjectUltrasonography
dc.subjectUterine Hemorrhage
dc.subjectchorionic gonadotropin beta subunit
dc.subjectmethotrexate
dc.subjectabortive agent
dc.subjectchorionic gonadotropin beta subunit
dc.subjectmethotrexate
dc.subjectabdominal mass
dc.subjectabdominal pain
dc.subjectabdominal tenderness
dc.subjectadult
dc.subjectAfrican
dc.subjectArticle
dc.subjectcase report
dc.subjectcesarean section
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjecthuman cell
dc.subjectmedical history
dc.subjectmenstrual cycle
dc.subjectmenstrual irregularity
dc.subjectobesity
dc.subjectovary pregnancy
dc.subjectpelvis
dc.subjectphysical examination
dc.subjectpriority journal
dc.subjectsingle drug dose
dc.subjecttransvaginal echography
dc.subjectuterine cervix disease
dc.subjectuterus cavity
dc.subjectvagina bleeding
dc.subjectvaginal speculum
dc.subjectyoung adult
dc.subjectabdominal pain
dc.subjectdiagnostic imaging
dc.subjectechography
dc.subjectintramuscular drug administration
dc.subjectovary
dc.subjectpathology
dc.subjectpregnancy
dc.subjectPregnancy, Ectopic
dc.subjecttreatment outcome
dc.subjectUterine Hemorrhage
dc.titleMedical management of an ovarian ectopic pregnancy: a case report
dc.typeArticle

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