Ovarian Ectopic Pregnancy: A Case Report

OVARIAN ECTOPIC PREGNANCY A CASE REPORT DR ANKITA MAGO, DR SHAILJA RANI INTRODUCTION Ovarian ectopic pregnancy is a rare variant of ectopic implantation. It ends with rupture before the end of the first trimester. Ovarian ectopic incidence after natural conception ranges from 1 in 2000 to 1 in 60, 000 deliveries and accounts for 3 % of all ectopic pregnancies. AIIMS AND OBJECTIVES Reporting a case of ovarian ectopic and defining the role of surgery in the management. BACKGROUND The incidence of ovarian ectopic has increased in the last 50 years attributable to increased use of intrauterine devices, ovulatory drugs and assisted reproductive technologies. A history of PID has been implicated as well. ovarian pregnancy is frequently misdiagnosed clinically as tubal ectopic pregnancy. CASE 24 year old primigravida presented with lower abdominal pain, minimal vaginal bleeding with 8 weeks of amenorrhoea. She did not have any past history of PID or infertility treatment. Her vitals were BP 99/58 MM of Hg, PR 100/min pallor present with abdominal guarding and tenderness. Per vaginal had bleeding and right forniceal fullness and tenderness. Managed surgically and revovery was uneventful. CONCLUSION Ovarian ectopic pregnancy is rare. Despite modern diagnostic modalities these patients continue to present with circulatory collapse. Usually surgical treatment in the form of oophretomy or wedge resection of the ovary is required.