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Case 72 - A 32-Year-Old G2P1 Woman with Ovarian Pregnancy Noted at Time of Surgery for Presumed Tubal Ectopic

Published online by Cambridge University Press:  19 November 2021

By
Debra A. Taubel
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 32-year-old female, gravida 2, para 1, presents to the emergency department for evaluation of acute-onset low abdominal pain that began several hours ago. Her last menstrual period was approximately six weeks ago and her urine pregnancy test in the emergency department is positive. She denies gastrointestinal symptoms, dizziness, or fever. Her past obstetric history is significant for one uncomplicated normal spontaneous vaginal delivery three years ago. Her past medical history is significant for chlamydia diagnosed and treated in the last year and endometriosis. Her past surgical history is significant for diagnostic laparoscopy.

Keywords

non-tubal ectopicovarian ectopic
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 219 - 221
Publisher: Cambridge University Press
Print publication year: 2021

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References

ACOG Practice Bulletin No. 193: Tubal ectopic pregnancy. Obstet Gynecol 2018; 131: e91–103.CrossRefGoogle Scholar
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Panelli, D, Phillips, C, Brady, P. Incidence, diagnosis and management of tubal and non-tubal ectopic pregnancies: a review. Fertil Res Pract 2015; 1: 15.CrossRefGoogle ScholarPubMed
Long, Y, Zhu, H, Hu, Y et al. Interventions for non-tubal ectopic pregnancy. Cochrane Database Syst Rev 2020; (7): CD011174.Google ScholarPubMed
Dolinko, A, Vrees, R, Frishman, G. Non-tubal ectopic pregnancies: overview and treatment via local injection. J Minim Invasive Gynecol 2018; 25: 287–96.CrossRefGoogle ScholarPubMed
Brady, P. New evidence to guide ectopic pregnancy diagnosis and treatment. Obstet Gynecol Surv 2017; 72(10): 618–25.CrossRefGoogle Scholar
Ge, L, Sun, W, Wang, L, et al. Ultrasound classification and clinical analysis of ovarian pregnancy: a study of 12 cases. J Gynecol Obstet Hum Reprod 2019; 48: 731–7.CrossRefGoogle ScholarPubMed

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