{
    "abstract": "This article describes a case of ovarian pregnancy without the presence of an IUD. The patient, a 33-year old Indian woman para 4, presented with right iliac fossa pain and 8 weeks of amenorrhea. There was no history of contraceptive use. The initial diagnosis was twisted ovarian cyst; however, ultrasonography revealed an enlarged uterus with a gestational sac. At laparotomy, a right solid ovarian mass was found anterior to the uterus and adherent to the uterus, bladder, and the rectosigmoid junction. The mass was mobilized and a right salpingo-oophorectomy was performed along with left ovarian cystectomy and tubal ligation. Microscopic examination indicated a developing embryo of 6 weeks gestation. Ovarian pregnancy has been reported in 1/10,000-40,000 pregnancies and represents 0.5-2.0% of all ectopic pregnancies. 12-20% of ectopic pregnancies in the presence of an IUD are ovarian as are 0.5% of all pregnancies occurring in IUD users. It is speculated that, in this case, fertilization took place outside the ovary and reimplantation occurred. Diagnosis of ovarian pregnancy generally requires 4 criteria: 1) the tube on the affected side must be intact; 2) the fetal sac must occupy the normal position of the ovary; 3) the ovary and sac must be connected to the uterus by the utero-ovarian ligament; and 4) definite ovarian tissue must be present in the sac wall.",
    "authors": [
        {
            "affiliation": null,
            "firstname": "B H",
            "initials": "BH",
            "lastname": "Lim"
        },
        {
            "affiliation": null,
            "firstname": "S",
            "initials": "S",
            "lastname": "Raman"
        },
        {
            "affiliation": null,
            "firstname": "T A",
            "initials": "TA",
            "lastname": "Sinnathuray"
        },
        {
            "affiliation": null,
            "firstname": "R",
            "initials": "R",
            "lastname": "Pathmanathan"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": null,
    "journal": "Asia-Oceania journal of obstetrics and gynaecology",
    "keywords": [
        "Biology",
        "Case Studies",
        "Contraception",
        "Contraceptive Methods--complications",
        "Diseases",
        "Family Planning",
        "Genital Effects, Female",
        "Genitalia",
        "Genitalia, Female",
        "Iud--complications",
        "Ovarian Effects",
        "Ovary",
        "Physiology",
        "Pregnancy Complications",
        "Pregnancy, Ectopic",
        "Research Methodology",
        "Studies",
        "Urogenital Effects",
        "Urogenital System"
    ],
    "methods": null,
    "publication_date": "1985-12-01",
    "pubmed_id": "3833157",
    "results": null,
    "title": "Ovarian pregnancy--a case report.",
    "xml": "<Element 'PubmedArticle' at 0x788504309c10>"
}