A Rare Case of Report of Ruptured Ovarian Ectopic Pregnancy

Background: Ovarian pregnancy is a rare yet potentially fatal form of non-tubal ectopic pregnancy and it ends with rupture. Its incidence is on rise due to increased use of intra uterine devices, ovulation inducing drugs and assisted reproductive technology etc. Definitive pre-operative diagnosis is very challenging as clinical and sonological findings often mimic that of tubal ectopic, corpus luteal cyst or endometriotic cyst. Case: We aim to present a case of young, naturally conceived fifth gravida woman with h/o previous LSCS presented with lower abdominal pain, bleeding per vaginum along with 2 months amenorrhea was provisionally diagnosed as ruptured tubal ectopic pregnancy and was taken up for laparotomy, later ruptured ovarian ectopic pregnancy was diagnosed intra-operatively and was confirmed histo-pathologically. Conclusion: Due to its bizarre presentation and rare incidence the early diagnosis and appropriate management of ovarian ectopic is crucial which can lead to significant reduction in maternal morbidity and mortality.