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Preoperative diagnostic clues to ovarian pregnancy: retrospective chart review of women with ovarian and tubal pregnancy

대한산부인과학회지 2017년 60권 5호 p.462 ~ 468
 ( Seo Mi-Rang ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology

 ( Choi Joong-Sub ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology
 ( Bae Jae-Man ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology
 ( Lee Won-Moo ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology
 ( Eom Jeong-Min ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology
 ( Lee Eun-Hyun ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology
 ( Keum Ji-Hyun ) - Hanyang University College of Medicine Department of Obstetrics and Gynecology

Abstract


Objective: To analyze the preoperative diagnostic clues to ovarian pregnancy (OP).

Methods: This study conducted a retrospective chart review of 23 patients with OP and 46 patients with tubal pregnancy (TP) from October 1, 2003 to September 31, 2016 in Hanyang University Hospital.

Results: There were no significant differences in demographic and clinical characteristics between the two groups. The presence of an ectopic gestational sac and hemoperitoneum was significantly higher in the TP group (13.0% vs. 95.7%, P=0.000; 13.0% vs. 54.3%, P=0.001, respectively) in preoperative ultrasonogram. The OP group had more ruptured ectopic gestational sacs than the TP group (73.9% vs. 45.7%, P=0.039) in surgical findings.

Conclusion: For the patients in whom a gestational sac is not detected in the uterus or the fallopian tubes, it is important to be aware of the possibility of OP and rupture of an ovarian gestational sac to promote early diagnosis and surgical intervention.

키워드

Ovarian pregnancy; Tubal pregnancy; Laparoscopy; Hemoperitoneum
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