Primary ovarian pregnancy mimicking malignancy

Abstract

The incidence of primary ovarian pregnancy is very rare. The clinical diagnosis of ovarian pregnancy remains challenging. There is no definite clinical, ultrasonographic, or laboratory signs to distinguish it from that of a tubal pregnancy. Awareness of the condition and high degree of clinical suspicion and characteristic histopathology is necessary help in arriving at the correct diagnosis. We report one such case in a young female who presented with a complaint of pain abdomen. She had a high serum β-human chorionic gonadotropin levels. She underwent unilateral salpingo-oophorectomy following clinical suspicion of malignancy. Histopathological examination proved it to be a case of ovarian pregnancy. She recovered well in the postoperative period. This is another additional case of ovarian pregnancy to the existing literature highlighting the histopathological findings.