N 2 (187) 2024. P. 72–74

CLINICAL CASE: OVARIAN PREGNANCY

V. I. Gladchuk, A. V. Volianiuk

Odesa National Medical University, Odesa, Ukraine

DOI 10.32782/2226-2008-2024-2-12

Ovarian pregnancies (OP) are a rare form of ectopic pregnancy, occurring in 0.5% to 1% of ectopic gestations, or one in 7000 to 40.000 live births. OP shares similar clinical symptoms with tubal ectopic pregnancy, rupture of a hemorrhagic cyst of the corpus luteum, and rupture of an endometrioid cyst. Consequently, its preoperative diagnosis is challenging, and most cases of OP are diagnosed intraoperatively. We present the case of a 28-year-old woman who was admitted with vaginal bleeding and abdominal pain in anamnesis. Transvaginal ultrasound (TVS) revealed no evidence of intrauterine pregnancy, but a gestational sac in the left ovary was assumed. The patient was successfully treated with laparoscopy and marginal resection of the left ovary. Histopathological studies confirmed the diagnosis of ovarian ectopic pregnancy. Next day after the operation, the patient was discharged in good state without any coplications.

The purpose is to study and analyze the features of early diagnosis and treatment following a specific case of OP. Materials and methods. The material was a clinical case of OP, methods of instrumental diagnosis and objective analysis. The results. A specific case of OP was studied, and the features of examination, diagnosis, and treatment were determined.

Conclusions. The present clinical case emphasizes that even today, the diagnosis of OP is challenging due to the lack of specific clinical symptoms. However, thanks to the improvement of transvaginal ultrasound diagnostics and timely surgical intervention, it is possible to prevent the occurrence of serious complications and losses.

Key words: ovarian pregnancy, ectopic pregnancy, laparoscopy.

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