A case series of ovarian ectopic pregnancy at a rural tertiary care hospital

Abstract

Ovarian ectopic pregnancy (OEP), is one of the variants of the non-tubal ectopic pregnancy, which varies one in 7,000–16,000 deliveries, and its prevalence is 1-3% among ectopic pregnancy. OEP is a complication which occurs when implantation and embryo development happens outside of the uterus. Usually, 91% of OEP terminates with rupture before the end of 1 trimester and it can lead to pregnancy complications such as hemorrhage and hypovolemic shock. Clinical presentation of OEP is lower abdominal or pelvic pain, or both. In addition to this, other symptoms include nausea, vomiting, and constipation.In this, we present 3 cases of OEP who reported to our hospital as adnexal mass for evaluation, who came with acute abdomen and was subsequently confirmed at surgery and proven on histopathology or USG detected adnexal mass with hemoperitoneum with suspicion of ectopic pregnancy. Judicious use of ultrasound in an appropriate clinical setting can thus prevent mishaps and enable better management of such conditions.