Ovarian ectopic pregnancy: a case report with review of literature

Abstract

Background: Ectopic pregnancyis a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies.Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2 nd m/c site of ectopic pregnancy after fallopian tube. Annual incidence ofextra uterine cavity pregnancyis rising over past 3 yrs. Aim and Objective: Aim of this review article is basically to describe a case of ovarian pregnancy and to study by a review of literature, the clinical sign &symptoms, diagnostic criteria and management of particular pathlogy accordingly, promote conservative surgical management. CASE-Here we report a case of 28 years old women, G5P3L3A1, presented to our hospital withlower abdomen pain with one and half month pregnancy with clinical feature of shock. Diagnosis was confirmed by transvaginal ultrasound, patient was prepared & taken for laparotomy in view of ruptured ovarianectopic pregnancy. Her intraoperative findings were 200 cc hemoperitoneum present, salpingo-oophorectomydone on Rt side. Tubal ligation done on left side by modified pomeroy method. Postoperative period was uneventful. Her histopathological report shows ovarian tissue in wall of gestation sac. Conclusion: According to spigelbergcriteria,it is a diagnostic challenge to obstetrician. Diagnosis can be missed radiologically and intraopertively. It Should be suspectedinpatients presented with rupturedec topic pregnancy, ultrasound features suggestive of normal b/lfallopian tubewith hemoperitoneum with breached ovarian surface. Conservative surgical approach is preferred, Now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathologicalreport