Successful outcome of an ovarian ectopic pregnancy


  • Umesh Athavale Consultant Radiologist, Private Practise, Mumbai, Maharashtra, India
  • Meena Satia Department of Obstetrics and Gynaecology, Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial Hospital, Mumbai, Maharashtra, India



Ovarian pregnancy, Ectopic pregnancy, Transvaginal ultrasonography, Speigelberg’s criteria


Ovarian pregnancy is rare and a conspicuous variant of ectopic pregnancy and an accurate preoperative diagnosis is very challenging various advances in diagnostic modalities like Transvaginal ultrasonography has evolved in identifying an ovarian pregnancy. We report here one such case of 30 years old with severe lower abdominal pain and bleeding per vaginum following six weeks of amenorrhea confirmed as ovarian ectopic pregnancy consistent with Speigelberg’s criteria on ultrasonography. This case highlights the significance of 3D ultrasonography in the diagnosis. Histopathological report concluded it to be an ovarian ectopic pregnancy.


Fritz MA, Speroff L. Clinical Gynecologic Endocrinology and infertility. 8th Ed. Philadelphia: 2011. p. 1409.

Shrestha A, Chawla CD, Shrestha RM. Ruptured primary ovarian pregnancy: a rare case report. Kathmandu Univ Med J. 2012;10:76-7.

Scutiero G, Di Gioia P, Spada A, Greco P. Primary ovarian pregnancy and its management. JSLS. 2012;16:492-4.

Odejinmi F, Rizzuto MI, MacRae R, Olowu O, Hussain M. Diagnosis and laparoscopic management of 12 consecutive cases of ovarian pregnancy and review of literature. J Minim Invasive Gynecol. 2009;16:354-9.

Hallet JG. Primary ovarian pregnancy. A case report of twenty five cases. Am J Obstet Gynecol. 1982;143(1):55-60.

Grimes H, Nosal RA, Gallagher JC. Ovarian pregnancy. A series of 24 cases. Obstet Gyncol. 1983;61:174-80.

Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics. 23rd Ed. Mc Graw Hill; Ectopic pregnancy. 2010. p. 251.

Spiegelberg. Zur casuistic der ovarial Schwangerschft. Archiv für Gynaekologie. 1873;13:73-6.

Grimes G, Nosal RA. Ovarian pregnancy: a series of 24 cases. Obstetrics and Gynecology. 1983;61(2):174-80.

Riethmuller D, Sautiere JL, Benoit S. Ultrasonic diagnosis and laparoscopic treatment of an ovarian pregnancy. A case report and review of the literature. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 1996;25(4):378-83.

Koo YJ, Choi HJ, Im KS. Pregnancy outcomes after surgical treatment of ovarian pregnancy,” International Journal of Gynecology and Obstetrics. 2011;114(2):97-100.

Einenkel J, Baier D, Horn LC. Laparoscopic therapy of an intact primary ovarian pregnancy with ovarian hyperstimulation syndrome. Human Reproduction. 2000;15(9): 2037-40.

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

Sergent F, Mauger-Tinlot F, Gravier A, Verspyck E, Marpeau L. Grossesses ovariennes: réévaluation des critères diagnostiques. J Gynecol Obstet Biol Reprod. 2002;31:741-6.

Mehmood SA, Thomas JA. Primary ectopic ovarian pregnancy, report of three cases. J Postgrad Med. 1985;31:219-22.

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

Sandvier Sandstad E, Steir JA. Ovarian pregnancy associated with intrauterine contraceptive device. Acta Obstet Gynecol Scand. 1987;66:137-41.

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

Mehra S, Negi H, Hotchandi M. Rare case of Ovarian pregnancy managed by laparoscopy: A case report. JK Sci. 2003;5:29.

Hassan S, Arora R, Bhatia K. Primary ovarian pregnancy: case report and review of literature. BMJ Case Rep. 2012:bcr2012007112.

Comstock C, Huston K, Lee W. The ultrasonographic appearance of ovarian ectopic pregnancies. Obstet Gynecol. 2005;105:42-5.

Di Luigi G, Patacchiola F, La Posta V, Bonitatibus A, Ruggeri G, Carta G. Early ovarian pregnancy diagnosed by ultrasound and successfully treated with multidose methotrexate. A case report. Clin Exp Obstet Gynecol. 2012;39:390-3.






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