DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171446

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

Priyanka Anand, Namrata Nargotra

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.


Keywords


Chorionic villi, Ectopic, Histopathology, Ovarian, Ovarian stroma

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