Ovarian Ectopic Pregnancy: A Rare Entity of Extrauterine Pregnancy (A Case Report)

Abstract

Ovarian ectopic pregnancy is a rare condition that carries an immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Clinicians should be well equipped to diagnose and treat this unusual form of ectopic pregnancy at the earliest .The incidence of ovarian pregnancy is increasing due to the rising incidence of infertility and the use of assisted reproductive technologies. The diagnosis is often made during surgery and requires histological confirmation. Ultrasound can detect ovarian gestations in unruptured cases but cannot easily differentiate an ovarian pregnancy from another tubal pregnancy in a ruptured state. A conservative surgical approach remains the treatment of choice. In cases of ovarian pregnancy after early surgical treatment of the disease, the success rates of future pregnancies are considered very satisfactory. We report here an unusual case of ovarian ectopic pregnancy. Our patient is a 26-year-old nulliparous woman, with no particular history. Ruptured ovarian pregnancy was suspected by endovaginal echography. A laparotomy was performed urgently, showing a ruptured ovarian ectopic pregnancy, and a wedge-shaped resection of the ovary was performed. Histopathological examination confirmed that it was an ovarian ectopic pregnancy.