Laparoscopic management of ovarian pregnancies: three cases

I. Sanverdi, E. E. Cogendez, Y. Akdemir

Abstract: Primary ovarian pregnancy is rarely seen. The definitive diagnosis of ovarian pregnancy is difficult before operation and based on Spiegelberg’s four criteria. However, destroyed ovarian tissue around the gestational sac in laparoscopic surgery or ruptured ovary at the time of operation can not fulfill Spiegelberg’s criteria in some cases. The treatment of choice is laparoscopy, to preserve the reproductive functions of ovary. We suggest that Spiegelberg’s criteria require modification for the histopathologic diagnosis of ovarian pregnancy after performed ovarian tissue sparing surgery to preserve fertility.
Keywords: laparoscopy, ovarian pregnancy, surgery, fertility