Ruptured ovarian ectopic pregnancy in a primigravid woman: A case report.

This case report describes a 35-year-old primigravid woman initially evaluated for an apparent intrauterine pregnancy at 11 weeks after last menstrual period, who later developed sudden loss of consciousness, escalating abdominal pain, and hemodynamic instability. Using trauma-focused sonography, mild pelvic free fluid was noted, but after a rapid blood pressure drop she underwent emergency laparotomy, where approximately 2000 cc of hemoperitoneum and a ruptured ovarian ectopic pregnancy were found; salpingo-oophorectomy was performed and histopathology confirmed the diagnosis. The report emphasizes that ovarian ectopic pregnancy is rare yet potentially increasing, that ultrasound may be difficult to interpret definitively—especially when rupture has occurred—and that diagnosis is often only confirmed during surgery or by histology if fetal parts are not clearly visualized. Relevance to endometriosis: the paper explicitly lists concurrent endometriosis as a risk factor for ovarian ectopic pregnancy, while its primary focus is the clinical course and operative findings of a single ruptured ovarian ectopic pregnancy case.

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