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Case Reports in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 934571, 4 pages
http://dx.doi.org/10.1155/2012/934571
Case Report

Accurate Preoperative Diagnosis of Ovarian Pregnancy with Transvaginal Scan

1Department of Obstetrics and Gynecology, Mount Sinai Hospital, 1500 S California Avenue, Chicago, IL 60608, USA
2Department of Ultrasound, Mount Sinai Hospital, 1500 S California Avenue, Chicago, IL 60608, USA
3Department of Pathology, Mount Sinai Hospital, 1500 S California Avenue, Chicago, IL 60608, USA

Received 23 August 2012; Accepted 15 September 2012

Academic Editors: S. Z. A. Badawy and M. Morikawa

Copyright © 2012 Natasha Gupta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ovarian pregnancy is a rare variant of ectopic pregnancy, and an accurate preoperative diagnosis is very challenging. Dr. Saint Monnissey described the first reported case of ovarian pregnancy in 17th century. Transvaginal ultrasonography is a valuable tool in identifying an ovarian pregnancy from other types of ectopic pregnancies. Management with laparoscopy or laparotomy is required in all cases, and in almost all cases, ovary can be preserved since implantation is usually superficial (Koo et al.; 2011). A single case of an ovarian pregnancy, consistent with Spiegelberg’s criteria is presented here. This case history demonstrates the use of ultrasonography (USG) and surgery in the diagnosis and treatment, respectively, of the ovarian pregnancy. As we step into an era where in vitro fertilization rate is on its hike, one should be aware that incidence of ovarian pregnancy is also increasing, necessitating a high index of suspicion.