Mahroofi Abdulrahman D, Alsaqer Jawaher K, Alabdulla Nawal Saad, Ismael Rihab, Hsu Stephanie, Ismail M Samy
King Hamad University Hospital, Al Sayh, Bahrain.
Department of Obstetrics and Gynaecology, King Hamad University Hospital, Al Sayh, Bahrain.
Case Rep Obstet Gynecol. 2021 May 14;2021:6670763. doi: 10.1155/2021/6670763. eCollection 2021.
Nontubal ectopic pregnancies, especially ovarian ones, are rare. Here, we report a case of spontaneous bilateral ovarian pregnancy in a 23-year-old nulliparous lady who presented with a three-day history of abdominal pain localized to the right iliac fossa. Laboratory investigations and pelvic US and transvaginal US findings were suggestive of a right ovarian ectopic pregnancy and left ovarian cyst. Following the patient's consent, the gynaecologist laparoscopically removed the right ovarian ectopic pregnancy and performed a left ovarian cystectomy. Histopathology revealed findings of trophoblastic tissue and chorionic villi with products of conception in both ovaries leading to the diagnosis of bilateral spontaneous ectopic pregnancy. Physicians must be mindful in cases that have a similar clinical presentation because an early diagnosis leads to a reduction in the morbidity and mortality of this specific patient population and helps to improve their overall prognosis.
非输卵管异位妊娠，尤其是卵巢异位妊娠，较为罕见。在此，我们报告一例23岁未育女性的双侧自发性卵巢妊娠病例，该患者有3天局限于右髂窝的腹痛病史。实验室检查、盆腔超声和经阴道超声检查结果提示右侧卵巢异位妊娠和左侧卵巢囊肿。在患者同意后，妇科医生通过腹腔镜切除了右侧卵巢异位妊娠物，并进行了左侧卵巢囊肿切除术。组织病理学检查显示，双侧卵巢均有滋养层组织、绒毛膜绒毛及妊娠产物，从而诊断为双侧自发性异位妊娠。对于具有类似临床表现的病例，医生必须保持警惕，因为早期诊断可降低该特定患者群体的发病率和死亡率，并有助于改善其总体预后。
