Ultrasound in Ovarian Pregnancy Diagnosis
Abstract
7 patients with ovarian pregnancy were examined with help of ultrasound. The age of patients ranged from 22 to 41 years old. Literature review (1989-2015) related to the problem of ovarian pregnancy ultrasound diagnosis was also done. According to the literature review and results of the study brief summary of ovarian pregnancy clinical and diagnostic characteristics was presented. Early diagnosis of ovarian pregnancy often allows choosing the organ-preserving surgery. Ultrasound signs of pelvis region in ovarian pregnancy were as follows: the absence of ovum in the uterus, free fluid in the pelvis, the lack of ovary visualization on the side of ovarian pregnancy or presence of enlarged ovary with markedly heterogeneous structure on the side of ovarian pregnancy with absence of any additional mass on the side of changed ovary. Ultrasound image of the ovarian pregnancy was presented as a typical ovum with live or dead embryo (typical for primary ovarian pregnancy), broad echogenic ring with echonegative content (typical for primary ovarian pregnancy), ovary which had intimately (deforming ovary) adjacent mass of irregular shape and heterogeneous structure, forming a single conglomerate with the ovary (typical for secondary ovarian pregnancy), irregularly shape and non-uniform mass (bigger than normal ovary) surrounded by the free fluid (blood imbibition of the ovary with rupture and intraperitoneal hemorrhage).
About the Authors
M. N. Bulanov
Vladimir Oncologic Outpatient Clinic; Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
R. N. Gorta
Vladimir City Clinical Emergency Hospital
Russian Federation
Russian Federation
References
1. Снегирев В.Ф. Маточные кровотечения. Этиология - диагностика - лечение. Изд. 4-е. М.: Печатня А.И. Снегиревой, 1907. С. 272-335.
2. Буланов М.Н. Ультразвуковая гинекология: лекции по ультразвуковой диагностике в гинекологии. В трех томах. Т. 3. М.: Видар-М, 2011. С. 161-205.
3. Саркисов С.Э., Демидов А.В. Яичниковая беременность и ее ультразвуковая диагностика // Ультразвуковая и функциональная диагностика. 2010. № 5. С. 72-77.
4. Spiegelberg O. Zur Kasuistik der Ovarialschwangerschaft // Archiv fur Gynakologie. 1878. V. 13. No. 1. P. 73-79.
5. Hallatt J.G. Primary ovarian pregnancy: a report of twenty-five cases // Am. J. Obstet. Gynecol. 1982. V. 143. No. 1. P. 55-60.
6. Choi H.J., Im K.S., Jung H.J. et al. Clinical analysis of ovarian pregnancy: a report of 49 cases // Eur. J. Obstet. Gynecol. Reprod. Biol. 2011. V. 158. No. 1. P. 87-89.
7. We J.S., Shin C.J., Ahn H.Y. Clinical analysis of ovarian pregnancy // Ultrasound Obstet. Gynecol. 2008. V. 32. No. 3. P. 435.
8. Sergent F., Mauger-Tinlot F., Gravier A. et al. Ovarian pregnancies: revaluation of diagnostic criteria // J. Gynecol. Obstet. Biol. Reprod. 2002. V. 31. No. 8. P. 741-746.
9. Vasilev S.A., Sauer M.V. Diagnosis and modern surgical management of ovarian pregnancy // Surg. Gynecol. Obstet. 1990. V. 170. No. 5. P. 395-398.
10. Ercal T., Cinar O., Mumcu A. et al. Ovarian pregnancy; relationship to an intrauterine device // Aust. N. Z. J. Obstet. Gynaecol. 1997. V. 37. No. 3. P. 362-364.
11. Стрижаков А.Н., Давыдов А.И., Шахламова М.Н., Белоцерковцева Л.Д. Внематочная беременность. Изд. 2-е. М.: Медицина, 2001. С. 212-213.
12. Стоувэлл Т., Мак-Корд М. Самопроизвольный аборт и внематочная беременность // Гинекология по Эмилю Новаку / Под ред. Берека Дж., Адаши И., Хиллард П. М.: Практика, 2002. С. 321.
13. Joseph R.J., Irvine L.M. Ovarian ectopic pregnancy: aetiology, diagnosis, and challenges in surgical management // J. Obstet. Gynaecol. 2012. V. 32. No. 5. P. 472-474.
14. Tinelli A., Hudelist G., Malvasi A., Tinelli R. Laparoscopic management of ovarian pregnancy // JSLS. 2008. V. 12. No. 2. P. 169-172.
15. Itoh H., Ishihara A., Koita H. et al. Ovarian pregnancy: report of four cases and review of the literature // Pathol. Int. 2003. V. 53. No. 11. P. 806-809.
16. Shan N., Dong D., Deng W., Fu Y. Unusual ectopic pregnancies: a retrospective analysis of 65 cases // J. Obstet. Gynaecol. Res. 2014. V. 40. No. 1. P. 147-154.
17. Jha S., Bosworth K., Quadri A., Ibrahim A. Ovarian ectopic pregnancy // BMJ Case Rep. 2011. Doi: 10.1136/bcr.08.2010.3250.
18. Ghi T., Banfi A., Marconi R. et al. Threedimensional sonographic diagnosis of ovarian pregnancy // Ultrasound Obstet. Gynecol. 2005. V. 26. No. 1. P. 102-104.
19. Riethmuller D., Sautiere J.L., Benoit S. et al. Ultrasonic diagnosis and laparoscopic treatment of an ovarian pregnancy. A case report and review of the literature // J. Gynecol. Obstet. Biol. Reprod. 1996. V. 25. No. 4. P. 378-383.
20. Fernandez H., Coste J., Job-Spira N. Controlled ovarian hyperstimulation as a risk factor for ectopic pregnancy // Obstet Gynecol. 1991. V. 78. No. 4. P. 656-659.
21. Raziel A., Schachter M., Mordechai E. et al. Ovarian pregnancy - a 12-year experience of 19 cases in one institution // Eur. J. Obstet. Gynecol. Reprod. Biol. 2004. V. 114. No. 1. P. 92-96.
22. Varras M., Polizos D., Kalamara Ch. et al. Primary ruptured ovarian pregnancy in a spontaneous conception cycle: a case report and review of the literature // Clin. Exp. Obstet. Gynecol. 2002. V. 29. No. 2. P. 143-147.
23. Медведев Б.И., Казачкова Э.А., Казачков Е.Л. и др. Случай прогрессирующей яичниковой беременности // Акушерство и гинекология. 2009. № 1. С.64-65.
24. Goyal L.D., Tondon R., Goel P., Sehgal A. Ovarian ectopic pregnancy: a 10 years’ experience and review of literature // Iran J. Reprod. Med. 2014. V. 12. No. 12. P. 825-830.
25. Nisenblat V., Leibovitz Z., Tal J. et al. Primary ovarian ectopic pregnancy misdiagnosed as first-trimester missed abortion // J. Ultrasound Med. 2005. V. 24. No. 4. P. 539-543.
26. Scutiero G., Di Gioia P., Spada A., Greco P. Primary ovarian pregnancy and its management // JSLS. 2012. V. 16. No. 3. P. 492-494.
27. Russell J.B., Cutler L.R. Transvaginal ultrasonographic detection of primary ovarian pregnancy with laparoscopic removal: a case report // Fertil. Steril. 1989. V. 51. No. 6. P. 1055-1056.
28. Волков А.Е., Михельсон А.Ф., Волдохина Э.М., Бабенко Т.Н., Смирнова И.В. Ультразвуковая диагностика прогрессирующей яичниковой беременности // Ультразвуковая диагностика в акушерстве, гинекологии и педиатрии. 1993. № 4. С.71-72.
29. Atzori E. Transvaginal ultrasonography in the diagnosis of primary ovarian pregnancy: case report // Ultrasound Obstet. Gynecol. 1993. V. 3. No. 3. P.217-218.
30. Sarachaga M., Vasconcelos R.M., Gantus V. Ovarian pregnancy. Presentation of a case and review of the literature // Ginecol. Obstet. Mex. 1992. V. 60. No. 5. P. 152-154.
31. Garg M.K., Vyas S., Gulati A. et al. Primary twin ovarian pregnancy: case report and review of the literature // J. Clin. Ultrasound. 2009. V. 37. No. 1. P. 43-46.
32. Begum J., Pallavee P., Samal S. Diagnostic dilemma in ovarian pregnancy: a case series // J. Clin. Diagn. Res. 2015. V. 9. No. 4. P. QR01-QR03.
33. Hassan S., Arora R., Bhatia K. Primary ovarian pregnancy: case report and review of literature // BMJ Case Rep. 2012. Doi: 10.1136/bcr-2012007112.
34. Kowalczyk D., Kubicki J. The role of transvaginal ultrasonography in early diagnosis of ectopic ovarian pregnancy // Ginekol. Pol. 1996. V. 67. No. 2. P. 91-93.
35. Comstock C., Huston K., Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies // Obstet. Gynecol. 2005. V. 105. No. 1. P. 42-45.
36. Науменко А.А. Современные методы диагностики и лечения редких форм внематочной беременности: Дис.. канд. мед. наук. М., 2012. 210 с.
37. Timmerman D., Valentin L., Bourne T.H. et al. Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group // Ultrasound Obstet. Gynecol. 2000. V. 16. No. 5. P. 500-505.
Review
For citations:
Bulanov M.N., Gorta R.N. Ultrasound in Ovarian Pregnancy Diagnosis. Ultrasound & Functional Diagnostics. 2016;(2):28-42. (In Russ.)
Views:
88
Email this article 