The Spiegelberg criteria are applied to establish the diagnosis of:
- A Cervical pregnancy
- B Abdominal pregnancy
- C Ovarian pregnancy ✓
- D Rudimentary horn pregnancy
Correct answer: C. Ovarian pregnancy
Explanation
Spiegelberg described four criteria for primary ovarian pregnancy: the ipsilateral tube and its fimbriae must be intact and clearly separate from the ovary, the gestational sac must occupy the position of the ovarian follicle, the sac must be attached to the uterus by the ovarian ligament, and ovarian tissue must be demonstrable in the wall of the sac on histology. These criteria exclude secondary implantation from a tubal abortus.
Reference: Novak's Gynecology, 16th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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