Ruptured Primary Ovarian Ectopic Pregnancy: Case Report and Review of the Literature

Abstract

Abstract Background: Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity. The reported incidence is 0.15%–3% of all ectopic gestations. A gestational sac in an ectopic ovarian pregnancy may mimic a corpus luteum, a hemorrhagic cyst, or an endometriotic cyst of the ovary; thus, this pregnancy may take significant time to diagnose. Case: A 28-year-old female presented with 40 days of amenorrhea and an acute abdomen with ruptured primary ovarian ectopic pregnancy. She underwent a laparotomy and a right-sided salpingo-oophorectomy and the excised material was sent for histopathologic analysis. Chorionic villi were seen within the ovarian stroma, suggesting the likely possibility of an extrafollicular ovarian pregnancy Results: At the follow-up of 6 months, patient is doing well. Conclusions: While ovarian pregnancy is rare, awareness of this condition is important for reducing its associated morbidity and mortality. Ovarian ectopic pregnancy should be considered as on...