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EMBARAZO ECTÓPICO OVÁRICO: REPORTE DE CASO Y REVISIÓN DE LA LITERATURA Ectopic ovarian pregnancy: case report and review of the literature

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Abstract:

Objective: To report one case of ectopic ovarian pregnancy, and to review the literature on the diagnosis and treatment of this condition. Materials and methods: An ectopic ovarian pregnancy in a patient using a copper intrauterine device (IUD) is reported. Laparoscopic treatment was provided in a private, level III general care institution. A search was conducted on the subject of the review in the PubMed, Ovid, ScienceDirect and Lilacs databases using the MeSH terms “pregnancy, ectopic”; “pregnancy, ovarian”; “pre­ gnancy complications”. The search included reports, case series and review articles. Results: Overall, 23 references were found in the literature, including one book chapter, 9 topic reviews, and 13 reports or case series. DOI: http://dx.doi.org/10.18597/rcog.296 307 Embarazo Ectopico ovarico: rEportE dE caso y rEvision dE la litEratura Diagnosis requires a high degree of clinical suspicion, measurement of the beta subunit of the human chorionic gonadotropin hormone (­HCG), and transvaginal obstetric ultrasound performed by an experienced operator. Treatment is usually surgical through a laparoscopic approach or exploratory laparotomy, depending on the experience and training of the treating surgeon. There is no evidence supporting the use of methotrexate for this condition. Conclusion: Ectopic ovarian pregnancies are infrequent clinical occurrences, ultrasound is of limited usefulness, and surgical treatment with wedge resection or oophorectomy is the most frequent form of management.

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Ectopic Pregnancy Diagnosis and Management

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