English

Abstract

BACKGROUND: Ovarian pregnancy is seen rarely. Diagnosis is based on criteria established in 1878 by Spiegelberg. It is often done during surgery and requires histological consideration. The condition has not been reported locally and its diagnosis is easily missed. CASE: A 26 Years old women, primigravida with history of pulmonary tuberculosis in past presented with acute abdomen and clinical picture suggestive of ectopic pregnancy. Ultrasound showed a complex right adnexal mass. On exploration, was found to be ruptured ovarian pregnancy. Right partial oophorectomy was done. Histopathology report confirmed the diagnosis of ovarian ectopic. CONCLUSION: Ovarian ectopic is rarest of the rare condition which present late and is hazardous for the reproductive status of a women. INTRODUCTION: Primary ectopic ovarian pregnancy is seen rarely. The incidence of such pregnancies varies from 0.001% to 0.013% of normal pregnancies and from 0.17% to 1% of ectopic pregnancies. 1 A rare case of primary ovarian ectopic on antituberculous treatment for pulmonary Koch's made it still rarer and prompted us to report this case.