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Open Access Case report

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

Lourdes Montesinos1, Pedro Acién123*, Monserrat Martínez-Beltrán1 and María-José Mayol2

Author Affiliations

1 Service of Obstetrics and Gynecology, San Juan University Hospital, Alicante, Spain

2 Service of Pathology, San Juan University Hospital, Alicante, Spain

3 Departamento/Area de Ginecología, Facultad de Medicina de la Universidad “Miguel Hernndez”, Campus de San Juan, Alicante, 03550, Spain

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Journal of Medical Case Reports 2012, 6:399  doi:10.1186/1752-1947-6-399

Published: 23 November 2012

Abstract

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.

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