Feit Hagit, Leibovitz Zvi, Kerner Ram, Keidar Ran, Sagiv Ron
Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon, Israel and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
J Minim Invasive Gynecol. 2015 May-Jun;22(4):675-7. doi: 10.1016/j.jmig.2015.01.018. Epub 2015 Jan 23.
We present a rare case of ovarian pregnancy that occurred in a woman who underwent in vitro fertilization (IVF) after bilateral salpingectomy. The patient presented with abdominal pain and a positive pregnancy test. Ovarian pregnancy was diagnosed owing to a suspicious mass detected on ultrasound. She underwent laparoscopy to confirm the diagnosis, which was subsequently verified by histopathological examination. The question that comes in mind is: How did the pregnancy get there? After a review of the literature, we have found a few possible explanations for the mechanism of this rare event. This case emphasizes the need for vigilance in suspecting ectopic pregnancy even in women who have undergone salpingectomy.
我们报告一例罕见的卵巢妊娠病例,该病例发生在一名双侧输卵管切除术后接受体外受精(IVF)的女性身上。患者出现腹痛且妊娠试验呈阳性。由于超声检查发现可疑肿块,诊断为卵巢妊娠。她接受了腹腔镜检查以确诊,随后经组织病理学检查证实。人们不禁会问:妊娠是如何发生在那里的?在查阅文献后,我们找到了一些关于这一罕见事件发生机制的可能解释。该病例强调,即使是接受过输卵管切除术的女性,在怀疑异位妊娠时也需要保持警惕。