Ovarian ectopic pregnancy is a rare form of ectopic pregnancy and constitutes approximately 3% of all ectopic cases. Its presentation mimics the symptoms of tubal ectopic pregnancy and can be difficult to distinguish based on ultrasound imaging and presentation alone. Laparoscopic management is required for definitive diagnosis and treatment. Identifying these emergent cases early is imperative because of the high risk of maternal death. The nurse practitioner should consider this emergent diagnosis in all women of childbearing age who present to the emergency department with acute lower abdominal pain.

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