Abstract
Ovarian Ectopic Pregnancy: A Report of Two Cases with Variable Presentation
Highlights
Ovarian pregnancy is even rarer accounting for 0.15-3% of all ectopic gestations [2]
Fallopian tubes were unremarkable and sections from ovary revealed chorionic villi lying dispersed within ovarian stroma (Figure 1a & 1b)
Emergency laparotomy was performed and active bleeding was observed from the left ovary which was suggestive of ruptured ectopic pregnancy and around 300ml of blood was evacuated from abdominal cavity
Summary
Ovarian pregnancy is one of the rarest variants of ectopic implantation. It is often difficult to distinguish clinically from tubal pregnancy, and diagnosis and management are frequently a challenge. Patients frequently present with amenorrhea and acute abdominal pain. A diagnostic delay may lead to rupture, secondary implantation or operative difficulties. Awareness of this rare condition is important in reducing the associated risks. We report two cases of primary ovarian pregnancies one presenting with acute abdominal pain, and other misdiagnosed as tubal pregnancy. Both cases were confirmed by histopathological examinations and were successfully managed by surgery
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