DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20222826
Published: 2022-10-28

Successful management of ruptured ovarian ectopic pregnancy: a case report

Anu Chandel, Chanchal Gupta

Abstract


Ovarian pregnancy is one of the rarest sites of non-tubal ectopic pregnancy. It has a prevalence of 0.5-3.5% in all ectopic pregnancies. It usually presents with rupture in the first trimester, a potential life-threatening condition. A preoperative diagnosis is difficult to make. Majority of the cases are diagnosed intraoperatively followed by confirmation on histopathology. We presented a case of 32-year-old woman with previous two normal deliveries at 7 weeks gestation who presented with abdominal pain and spotting. She was diagnosed with ruptured ovarian ectopic pregnancy on laparotomy and salpingo-oophorectomy was done. Later, ovarian pregnancy was confirmed on histopathology. The incidence of ovarian ectopic pregnancy is increasing and it should be considered as a differential diagnosis in women of childbearing age coming to emergency department with abdominal pain. It is important to keep a high index of suspicion for its diagnosis. High resolution transvaginal ultrasonography can help in earlier detection and preventing some of its complications like rupture, shock and maternal mortality.


Keywords


Ovarian ectopic pregnancy, Hemoperitoneum, Salpingo-oophorectomy, Adnexal mass

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