Ruptured Primary Ovarian Ectopic Pregnancy: A rare case report

Swapnil Singh, Madhuri Alwani, Kamal Malukani
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2015 · vol. 4(2) , pp. 480 · doi:10.5455/2320-1770.ijrcog20150440 · W2116064908
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This case report describes a young multiparous woman with a history of lower segment cesarean section who presented with amenorrhea and abdominal pain, leading to a diagnosis of ruptured primary ovarian ectopic pregnancy. The condition was confirmed intra-operatively and histopathologically, and the patient was successfully managed via laparotomy and partial ovariectomy. The authors note that while risk factors for this rare complication include endometriosis, assisted reproductive technologies, and IUD use, the clinical presentation often mimics tubal ectopic pregnancy, making diagnosis challenging. Relevance to endometriosis: listed as one risk factor for primary ovarian pregnancy, though the paper's main focus is the surgical management of the ectopic gestation rather than the disease itself.

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Abstract

Primary ovarian pregnancy occurs quite rarely and that too usually in young highly fertile multiparous women. Risk factors include previous pelvic inflammatory disease, IUD use, endometriosis, and assisted reproductive technologies. Its presentation often is difficult to distinguish from that of tubal ectopic pregnancy. We report a case where a young Second gravida with previous LSCS presented with two months amenorrhea along with abdominal pain presented to us and was diagnosed as ectopic pregnancy and was confirmed intra-operatively and histopathologically as primary ovarian pregnancy, managed successfully with laparotomy followed by partial ovariectomy.
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Keywords

Ovarian ectopic pregnancy, Partial ovariectomyAbstract Primary ovarian pregnancy occurs quite rarely and that too usually in young highly fertile multiparous women. Risk factors include previous pelvic inflammatory disease, IUD use, endometriosis, and assisted reproductive technologies. Its presentation often is difficult to distinguish from that of tubal ectopic pregnancy. We report a case where a young Second gravida with previous LSCS presented with two months amenorrhea along with abdominal pain presented to us and was diagnosed as ectopic pregnancy and was confirmed intra-operatively and histopathologically as primary ovarian pregnancy, managed successfully with laparotomy followed by partial ovariectomy. Metrics

References

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