PMC9641050_01
(A) Transvaginal ultrasonography revealed an echogenic mass in the left ovary. (B) MRI diagnosis revealed a left ovarian mass. (C) Ovarian pregnancy was detected using a laparoscope. (D) Ovarian pregnancy lesion was completely removed. (E) Postoperative pathological analysis confirmed left ovarian gestation, revealing both chorionic villi and trophoblasts.
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PMC9641050_01_fphys-13-1036365-g001.jpg
F1
During the monitoring, the hCG value rises slowly, and the mass gradually increases (Figure 1A). T1 imaging was dominated by a low signal with a few arc-shaped high signals at the lower edge, whereas T2 imaging showed mixed signals dominated by a high signal, and a small, nodule-like low-signal shadow could be seen scattered at the edge (Figure 1B). Observations during the operation included a normal-sized uterus, smooth and normal fallopian tubes, normal right ovary and a purple-and-blue mass on the surface of the left ovary measuring 4.0 x 2.5 cm2 with an intact capsule partially fused with the ovarian cortex, and abundant surface blood vessels (Figure 1C). The gestational sac of the ovarian pregnancy was intact upon removal (Figure 1D), and the ovary was sutured and repaired. Postoperative pathological analysis confirmed left ovarian gestation, demonstrating both chorionic villi and trophoblasts (Figure 1E).
PMC9641050_02
(A) Transvaginal ultrasonography revealed an echogenic mass in the right ovary. (B) Ovarian pregnancy was detected using a laparoscope. (C) Postoperative pathological analysis confirmed right ovarian gestation, revealing both chorionic villi and trophoblasts.
fphys-13-1036365-g002.jpg
PMC9641050_02_fphys-13-1036365-g002.jpg
F2
CDFI could detect blood flow signals in the surrounding area (Figure 2A). During the procedure, a normal-sized uterus, smooth and normal fallopian tubes, normal left ovary, and purple-and-blue mass measuring 2.0 x 1.5 cm2 on the surface of the right ovary with an intact capsule (Figure 2B) were observed. Postoperative pathological analysis confirmed right ovarian gestation (Figure 2C).