Ovarian dysgerminoma and synchronic contralateral tubal pregnancy followed by normal intra-uterine gestation: a case report

Journal of Medical Case Reports

María-José Mayol¹  Monserrat Martínez-Beltrán²  Pedro Acién³  Lourdes Montesinos² 

[1] Service of Pathology, San Juan University Hospital, Alicante, Spain;Service of Obstetrics and Gynecology, San Juan University Hospital, Alicante, Spain;Departamento/Area de Ginecología, Facultad de Medicina de la Universidad “Miguel Hernndez”, Campus de San Juan, Alicante, 03550, Spain

关键词: Pregnancy after surgery;    LDH;    β-hCG;    Ectopic pregnancy;    Germ cell tumors;    Ovarian tumors;    Dysgerminoma;   

Others  :  1195231
DOI  :  10.1186/1752-1947-6-399

 received in 2012-04-13, accepted in 2012-10-19,  发布年份 2012

【 摘 要 】

Introduction

We report that the coincidence of ovarian tumor and pregnancy poses significant challenges that are more pronounced if the pregnancy is ectopic.

Case presentation

Here, we report a rare and interesting case of a 24-year-old nulliparous Spanish woman who experienced the coincidental occurrence of left tubal pregnancy and dysgerminoma in the right ovary. The corpus luteum settled in the right ovary. A right adnexectomy and left linear salpingostomy were performed. Remarkably, our patient became pregnant spontaneously after surgery. The pregnancy occurred prior to starting chemotherapy, and the intra-uterine pregnancy was carried to term; later, she also had another normal pregnancy. Our patient has done well without chemotherapy.

Conclusions

Our report on the challenges of diagnosis and treatment faced in this case can help clinicians better understand and manage these pathologies. We have not found any similar cases in the literature.

【 授权许可】

   
2012 Montesinos et al.; licensee BioMed Central Ltd.

【 图 表 】

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