Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrome

A case of an intact primary ovarian pregnancy with ultrasonographic demonst ration of heart motion following ovarian stimulation is presented. After pr eoperative ultrasonographic confirmation of an extrauterine pregnancy, proo f of the ovarian localization was achieved by intra-operative ultrasonograp hic visualization during a diagnostic laparoscopy on post-menstrual day 48, A moderate ovarian hyperstimulation syndrome with a concomitant increase i n size, vulnerability and vascularity of the ovaries presented an additiona l challenge for the surgical approach, However, thanks to the early diagnos is of the ectopic pregnancy localization, a laparoscopic organ-preserving r emoval of the intact ovarian pregnancy was successfully performed, In this way, the fertility of the patient, who had previously undergone contralater al ovariectomy, was preserved. To our knowledge, this represents the first such treatment to be reported in the medical literature. Improvements in di agnosis and therapy of ovarian pregnancy are reviewed.