A rare case of an ovarian ectopic pregnancy

Authors

  • Kirti Bendre Department of Obstetrics and Gynecology, K. J. Somaiya Medical College, Mumbai, Maharashtra, India
  • Sharvari Kulkarni Department of Obstetrics and Gynecology, K. J. Somaiya Medical College, Mumbai, Maharashtra, India
  • Sulbha Gejele Department of Obstetrics and Gynecology, K. J. Somaiya Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20232751

Keywords:

Ectopic pregnancy, Ovarian ectopic

Abstract

Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy accounting for 3% of all ectopic pregnancies (incidence: 1.38-1.5%). Diagnosis is mostly missed and patients usually present with hemoperitoneum and shock since ovaries have rich blood supply. We report a case of a 42-year-old G4P3L3 with 6 weeks of amenorrhea with severe pain in abdomen, giddiness, spotting p/v. Beta hCG was 5380 mIU/ml, hemoglobin (Hb): 4 gm%, with ultrasonography (USG) was s/o left adnexal mass with massive hemoperitoneum. Patient taken for emergency exploratory laparotomy with Intraoperative findings showing massive hemoperitoneum with b/l tubes being normal, left ovary having 1.5 cm cystic mass which was bleeding. Left partial oophorectomy with D and C done. Histopathology report suggestive of normal tubes and ovary with syncytiotrophoblast s/o ruptured ovarian ectopic pregnancy.

References

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

Kadau JV. Sonographic Detection of Ovarian Ectopic Pregnancy: A Case Study. J Diagnostic 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 Reprod Med. 2014;12(12):825-30.

Ghasemi Tehrani H, Hamoush Z, Ghasemi M, Hashemi L. Ovarian ectopic pregnancy: A rare case. Iran J Reprod Med. 2014;12(4):281-4.

Birge O, Erkan MM, Ozbey EG, Arslan D. Medical management of an ovarian ectopic pregnancy: a case report. J Med Case Rep. 2015;9:290.

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Published

2023-08-29

Issue

Section

Case Reports