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Laparoscopic Surgery for Ovarian Pregnancy using Diathermy Hook with Conservation of Ovary: A Case Report and Literature Review

Title: Laparoscopic Surgery for Ovarian Pregnancy using Diathermy Hook with Conservation of Ovary: A Case Report and Literature Review
Authors: Alpha K. Gebeh; Akwasi A. Amoako; Olakanmi Joseph; Asok Banerjee
Source: Journal of Clinical Medicine, Vol 2, Iss 4, Pp 214-219 (2013)
Publisher Information: MDPI AG
Publication Year: 2013
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: ovarian pregnancy; ectopic pregnancy; diathermy hook; laparoscopic surgery; Medicine
Description: A 31-year-old woman presented with a 7-week history of irregular vaginal bleeding without abdominal pain. She had been using the intrauterine contraceptive device (IUD) for the last 3 years. A pregnancy test was positive and subsequent serum beta human chorionic gonadotropin (β-HCG) was 4992 mIU/mL. A transvaginal ultrasound scan demonstrated an empty uterus with an associated adnexal mass but no free fluid. A right primary ovarian ectopic pregnancy was diagnosed a laparoscopy. This was managed laparoscopically using monopolar diathermy hook with conservation of the ovary and minimal blood loss. Ovarian pregnancy is rare, especially in women without the classical risk factors for tubal pregnancy, and efforts should be made to exclude ectopic pregnancy in the absence of abdominal pain in a woman of reproductive age presenting with prolonged and irregular vaginal bleeding. Methods to conserve the ovary are also encouraged in cases of ovarian pregnancy.
Document Type: article in journal/newspaper
Language: English
Relation: http://www.mdpi.com/2077-0383/2/4/214; https://doaj.org/toc/2077-0383; https://doaj.org/article/219c94eea73543fc9dc9d8c28394a96e
DOI: 10.3390/jcm2040214
Availability: https://doi.org/10.3390/jcm2040214; https://doaj.org/article/219c94eea73543fc9dc9d8c28394a96e
Accession Number: edsbas.BB8537E6
Database: BASE