Dilemma in diagnosing ovarian ectopic pregnancy


  • Harsha Rajpal Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, India
  • Harvinder Kaur Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, India
  • Urvashi Miglani Department of Obstetrics and Gynecology, Deen Dayal Upadhyay Hospital, New Delhi, India




Corpus luteal cyst, Ectopic, Pregnancy


To study different presentation of ovarian ectopic pregnancy and its management. All the 4 patients of ovarian ectopic pregnancy presented in our hospital in the month of April 2019 were analysed. We reported 4 cases with a pre-operative provisional diagnosis of ruptured ectopic pregnancy and intra-operative diagnosis of? ovarian ectopic pregnancy, however histopathological examination confirmed the diagnosis of ovarian ectopic pregnancy in only 2 of the cases while the other 2 were ruptured corpus luteal cyst. Wedge resection was performed in all 4 patients. Ovarian ectopic pregnancy is rare and can be missed radiologically and intra-operatively. Establishing early diagnosis is a challenge to the clinician, it commonly mimics tubal ectopic or ruptured corpus luteal cyst. Provisional diagnosis can be made intra-operatively when a hemorrhage mass is seen near the ovary with a normal fallopian tube but can be confirmed by histopathological examination. The chief goal of the treatment remains life-saving intervention by early diagnosis to reduce maternal mortality and morbidity.


Das S, Kalyani R, Lakshmi V, Kumar Harender ML. Ovarian pregnancy. Indian J Pathol Microbiol. 2008;51:37-8.

Kraemer B, Kraemer E, Guengoer E, Juhasz-Boess I, Solomayer EF, Wallwiener D, et al. Ovarian ectopic pregnancy: diagnosis, treatment correlation to Carnegie stage 16 and review based on a clinical case. Fertil Steril. 2009;92:392.e13-e15.

Ghi T, Banfi A, Marconi R, Iaco PD, Pilu G, Aloysio DD, et al. Three-dimensional sonographic diagnosis of ovarian pregnancy. Ultrasound Obstet Gynecol. 2005;26:102-4.

Spigelberg O. Casusistik der ovarial sch wanger schaft. Arch Gynecol. 1878;13:73.

Birge O, Erkan MM, Ozbey EG, Arslan D. Medical management of ovarian ectopic pregnancy: a case report. J Med Case Rep. 2015;9(290):1-4.

Gaubert P, Dufour P, Devisme L, Massoni F, Querleu D. Grosses ovarienne. A Propos d’une observation. Presse MED. 1999;28:2103.

Riethmuller D, Sautier JL, Benoit S, Roth P, Schaal JP, Maillet R. Diagnostic echographique et traitement laparoscopique d’une Grossesse ovarienne. A Propos d’un cas et revue de la litterature. J Gynecol Obstet Biol Reprod. 1996;25:378-83.






Case Reports