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Human Reproduction, Vol. 15, No. 9, 2037-2040, September 2000
© 2000 European Society of Human Reproduction and Embryology

Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrome: Case report

Jens Einenkel1,3, Dieter Baier1, Lars-Christian Horn2 and Henry Alexander1

1 Department of Obstetrics and Gynaecology, University of Leipzig, 2 Institute of Pathology, University of Leipzig, Philipp-Rosenthal-Straße 55, D-04103 Leipzig, Germany

A case of an intact primary ovarian pregnancy with ultrasonographic demonstration of heart motion following ovarian stimulation is presented. After preoperative ultrasonographic confirmation of an extrauterine pregnancy, proof of the ovarian localization was achieved by intra-operative ultrasonographic visualization during a diagnostic laparoscopy on post-menstrual day 48. A moderate ovarian hyperstimulation syndrome with a concomitant increase in size, vulnerability and vascularity of the ovaries presented an additional challenge for the surgical approach. However, thanks to the early diagnosis of the ectopic pregnancy localization, a laparoscopic organ-preserving removal of the intact ovarian pregnancy was successfully performed. In this way, the fertility of the patient, who had previously undergone contralateral ovariectomy, was preserved. To our knowledge, this represents the first such treatment to be reported in the medical literature. Improvements in diagnosis and therapy of ovarian pregnancy are reviewed.

Key words: ectopic pregnancy/intrauterine insemination/laparoscopy/ovarian hyperstimulation syndrome/ovarian pregnancy

3 To whom correspondence should be addressed at: Universitätsfrauenklinik Leipzig, Philipp-Rosenthal-Straße 55,D-04103 Leipzig, Germany.E-mail: einj{at}server3.medizin.uni-leipzig.de


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