Primary ovarian pregnancy: histopathology remains the key to confirming diagnosis setting

Authors

  • Priyanka Anand Department of Pathology, NDMC and Hindurao hospital, New Delhi, India
  • Namrata Nargotra Department of Pathology, NDMC and Hindurao hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171446

Keywords:

Chorionic villi, Ectopic, Histopathology, Ovarian, Ovarian stroma

Abstract

Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity and accounts for only 0.15-3% of all ectopic gestations. It usually ends with rupture before the end of first trimester. The diagnosis is often made intraoperatively and confirmed histopathologically. A 23 year old female presented with severe hypogastric abdominal pain with no history of amenorrhea. She underwent a laprotomy and a right sided salpingo-oopherectomy and the excised material was sent for histopathological examination. Chorionic villi were seen within the ovarian stroma suggesting the likely possibility of an ovarian pregnancy. Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. This highlights the importance of histopathology for the accurate diagnosis of this condition.

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Published

2017-03-30

Issue

Section

Case Reports