Abstract
Incidence of ovarian pregnancy is rare (1/3000 to 1/50000 deliveries) and 3% of total ectopic pregnancies by natural conception. There are many reasons of ectopic pregnancy, mostly arise in using of IUD and ART. Prediagnosis of ovarian pregnancy is not easy and 28% of the cases are possible to diagnosis during the surgery, because it's findings are likely to mimic those of a tubal pregnancy or an ovary cyst rupture. If you don't get the serum beta HCG result, definitely it is suspected during surgery and confirmed by histopathology. Massive ovarian bleeding is also seen in one third of cases. The 33-year-old primi gravida with amenorrhea 6 weeks Presented. When she came to ER, she suffered frompain and vital signs were unstable; BP = 90/60mmHg, Pulse = 116/min. Serum beta HCG levels was 4907 IU/L and transvaginal USG showed no G-sac in uterine cavity and only a cyst with a wide ecogenic outer ring existed on right adnexa measuring 23 mm × 23 mm, suggestive of ectopic focus. The patient was taken for laparoscopic surgery. The right ovary was appeared to be ruptured with hemoperitoneum (amount 400ml). Single port laparoscopic excision was done and specimen was come out villous tophoblasts by histopathology. Single port laparoscopy is widely used because of the minimised potential morbidity and maximised cosmetic benefits compared to conventional Laparoscopy. Despite the advantages of Single port laparoscopy, unstable vital signs with massive hemoperitoneum are frequently avoided as contraindications. However, we performed successful diagnostic single port laparoscopy as convention. Patient's initial hemoglobin was 8.4 gm/dl. And after 2 PRC transfusion no more hemodiluted condtion was seen until end of the hospitalisation. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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