Vol. 4, Issue 1 (2019)
Conservative surgical management of ovarian ectopic pregnancy by vasopressin injection: A rare case report
Author(s): Dr. Devarasetti Anurupa, Dr. Ravikanth GO, Dr. Geeta J Doppa
Abstract: Introduction: Ovarian pregnancy is estimated to be 3% of diagnosed ectopic pregnancies. Most of the ovarian ectopic pregnancies are managed by ovariotomy, salpingoovariotomy or partial wedge resection of ovary which compromises the fertility in future. Use of a vasopressor in the mesosalpinx may achieve hemostasis during conservative surgery for ectopic pregnancy. Case Report: We report a case of young second gravida presented with 40 days of amenorrhea along with abdominal pain and spotting per vagina and was diagnosed as ectopic pregnancy and was confirmed intra operatively and histo pathologically as primary ovarian pregnancy, managed successfully with laparoscopic removal of ovarian pregnancy. Discussion: In true ovarian pregnancy, the ovum is fertilised while it is in the abdominal cavity, in the Graffian follicle or in the process of leaving the follicle. In our case though the corpus luteum was in the same ovary it was located away from the ovarian pregnancy, so it is an extrafollicular ovarian pregnancy. Control of bleeding is the most important factor for successful conservative surgery in ovarian pregnancy. The local infiltration of mesosalpinx with diluted vasopressin solution will achieve hemostasis by constriction of small vessels and interruption of blood flow to the implanted gestational sac without endangering the ovarian vascularity in future. Conclusion: Conservation of ovary in ovarian ectopic pregnancy is possible using vasopressin injection.
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