Coustan D R, Rainey E C, Joseph T J
South Med J. 1976 Nov;69(11):1456-7. doi: 10.1097/00007611-197611000-00019.
Two ovarian pregnancies coexistent with intra-uterine contraceptive devices are described. In one case, the ovary appeared to contain a cyst at laparoscopy and rupture of the cyst and extrusion of the fetus were witnessed. In the second case, a hemorrhagic ovarian cyst bled at laparoscopy and laparotomy resulted in the diagnosis of ovarian pregnancy. These two cases reveal that laparoscopic examination could be misleading and result in inappropriate management if the diagnosis of ovarian pregnancy is not entertained. The cases described add to the growing number of reports of extrauterine pregnancies occurring in patients using intra-uterine contraceptive devices.
本文描述了两例与宫内节育器共存的卵巢妊娠。其中一例，腹腔镜检查时卵巢似乎有一个囊肿，可见囊肿破裂和胎儿挤出。另一例，腹腔镜检查时一个出血性卵巢囊肿出血，剖腹手术确诊为卵巢妊娠。这两例表明，如果未考虑卵巢妊娠的诊断，腹腔镜检查可能会产生误导并导致不恰当的处理。本文所述病例增加了使用宫内节育器患者发生宫外孕报告的数量。
