Missed ovarian pregnancy in early laparoscopic management

Chun Hsing Wu, Chin Jung Wang, Chih Feng Yen*, Chyi Long Lee, Jenn Jeih Hsu

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

1 Scopus citations


Objective: To report a case of repeat hemoperitoneum which was later proved to be a missed ovarian pregnancy in early laparoscopic management. Design: Case report. Setting: University hospital. Subject and intervention: A 31-year-old women who presented with haemoperitoneum was thought to have an ectopic pregnancy, but no substantial lesion was found at early laparoscopy. Haemoperitoneum recurred 10 days later, and repeat laparosopy revealed a ruptured ovarian pseudogestational sac at a site previously thought to be a corpus luteum. Main Outcome: Measure intraoperative transvagianl doppler ultrasonography confirmed the presence of pseudogestational sac. Postoperative histopathology proved the diagnosis of ovarian pregnancy. Result and Conclusion: The lesson learned from this case was the need to remove all suspicious ovarian masses, including the corpus luteum cysts, in early laparoscopic management in patients with otherwise 'negative' findings, in order to avoid missing an ovarian pregnancy.

Original languageEnglish
Pages (from-to)321-323
Number of pages3
JournalGynaecological Endoscopy
Issue number5
StatePublished - 12 2002
Externally publishedYes


  • Ectopic pregnancy
  • Laparoscopic surgery
  • Ovarian pregnancy
  • β-hCG


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