Ruptured primary ovarian ectopic pregnancy: a case series

Abstract

Ovarian ectopic pregnancy (OEP) is one of the rarest forms of nontubal ectopic pregnancies. Less than 1% of ectopic pregnancies are primary OEP. Exact etio-pathogenesis and predisposing factors for OEP are not yet well understood. Review of literature suggests its possible association with conditions like tubal sterilization, intrauterine contraceptive device (IUCD), IVF-ET in patients with bilateral salpingectomy etc. Clinical and radiological presentation often mimics like tubal ectopic pregnancy, making preoperative diagnosis difficult for clinicians. Thus, correct diagnosis can be made only intraoperatively using Speigelberg’s criteria followed by histopathological confirmation. Treatment includes wedge resection of affected ovarian tissue or salpingo-oophorectomy in selected cases. We present a case series of primary ruptured ovarian ectopic pregnancy with no identifiable risk factors with inconclusive radiological diagnosis.