Live full-term ovarian ectopic pregnancy

A case report

Megan L. Lee, Bo C. Li, David Robins, Todd Tillmanns

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Ovarian ectopic pregnancy is rare, with an incidence of 1/7,000 to 1/40,000. Only a few of them progress to full term and survive. Most of them rupture in the first trimester and require emergency surgical intervention. CASE: An African American woman at 38 4/7 weeks’ gestation presented to labor and delivery with decreased fetal movement. Fetal presentation was vertex by ultrasound, which failed to detect ectopic pregnancy. The patient underwent cesarean section for nonreassuring fetal status. Dense pelvic adhesions and an unexpected, live, left ovarian ectopic pregnancy were encountered during laparotomy. CONCLUSION: This case stresses the importance of starting prenatal care early and having a routine first trimester transvaginal ultrasound, which could enhance early detection of an ectopic pregnancy.

Original languageEnglish (US)
Pages (from-to)607-610
Number of pages4
JournalJournal of Reproductive Medicine
Volume59
Issue number6
StatePublished - Dec 1 2014

Fingerprint

Ectopic Pregnancy
First Pregnancy Trimester
Labor Presentation
Fetal Movement
Fetal Distress
Prenatal Care
Cesarean Section
African Americans
Laparotomy
Rupture
Emergencies
Pregnancy
Incidence

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Live full-term ovarian ectopic pregnancy : A case report. / Lee, Megan L.; Li, Bo C.; Robins, David; Tillmanns, Todd.

In: Journal of Reproductive Medicine, Vol. 59, No. 6, 01.12.2014, p. 607-610.

Research output: Contribution to journalArticle

Lee, Megan L. ; Li, Bo C. ; Robins, David ; Tillmanns, Todd. / Live full-term ovarian ectopic pregnancy : A case report. In: Journal of Reproductive Medicine. 2014 ; Vol. 59, No. 6. pp. 607-610.
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