Case report of ruptured ovarian ectopic pregnancy

Jacqueline Anna Jayson, Kavita Mandrelle, Ashima Chander, Roma Issacs


Ectopic pregnancy occurs very rarely with an incidence of 1.5% to 2% in all pregnancies and more commonly, in young highly fertile multiparous women using intrauterine device. Here, we presented a case of young multiparous lady who presented with irregular bleeding since the last 2 months. Ultrasound was done which showed a large right sided ovarian mass with free fluid in the abdomen. She was taken up for exploratory laparotomy followed by right oophorectomy after a verbal and written consent in view of ruptured corpus luteal cyst/ruptured ovarian ectopic pregnancy. Intraoperatively, a large right ruptured ovarian ectopic pregnancy was seen, which was also confirmed on histopathological examination.



Ovarian ectopic pregnancy, Corpus luteal cyst, Laparotomy, Oophorectomy

Full Text:



José F, Castañeda JD, Miryam A. Bilateral ectopic pregnancy. J Minimal Invas Gynaecol. 2007;14(4):419-27.

Kadau JVV. Sonographic detection of ovarian ectopic pregnancy. J Diagnost Med Sonograph. 2016;32(5):299-303.

Goyal LD, Tondon R, Goel P, Sehgal A. Ovarian ectopic pregnancy: a 10 years’ experience and review of literature. Iran J Reproduct Med. 2014;12(12):825-30.

Hertig AT. Discussion of Gerin-Lojoie L. Ovarian pregnancy. Am J Obstet Gynecol. 1951;62:920.

Valien JS, Alvarez MPR, Moran MAG, Merayo MG, Diez CN. Ectopic ovarian pregnancy. An Med Intern. 1995;12:192-4.

Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Ovarian pregnancies: Revaluation of diagnostic criteria. J Gynecol Obstet Biol Reprod. 2002;31(8):741-6.

Joseph RJ, Irvine LM. Ovarian ectopic pregnancy: aetiology, diagnosis, and challenges in surgical management. J Obstet Gynaecol. 2012;32(5):472-4.

Mehra S, Negi H, Hotchandi M. Rare case of ovarian pregnancy managed by laparascopy: A case report. JK Sci. 2003;5(1):29.

Russel JB, Cutler LR. Transvaginal ultrasonographic detection of primary ovarian pregnancy with laparoscopic removal. Fertil Steril. 1989;51:1055.

Spigelberg O. Casusistik der ovarial schwangerschaft. Arch Gynecol.1978;13:73.

Lipscomb GH, McCord ML, Stovall TG, Huff G, Portera SG, Ling FW. Predictors of success of methotrexate treatment in women with tubal ectopic pregnancies. N Engl J Med. 1998;341(26):1974-8.

Practice committee of American society for reproductive medicine. Medical treatment of ectopic pregnancy: a committee opinion. Fertil Steril. 2013;100(3):638-44.

Chahtane A, Dehayni M, Rhrab B, Kharbach A, El Amrani S, Chaoui A. Ovarian pregnancy: Four cases with review of literature. Rev Fr Gynecol Obstet. 1993;88(1):35-8.

Ciortea R, Costin N, Chiroiu B, Malutan A, Mocan R, Hudacsko A, et al. Ovarian pregnancy associated with pelvicadhesions. Clujul Med. 2013;86(1):77-9.