Primary Ovarian Pregnancy : A Case Report

Abstract

     Primary ovarian pregnancy is a relatively rare form of ectopic pregnancy with an incidence of 1/6,000-1/40,000 pregnancies. We report a 28-year-old woman, gravida 1, parity 0 referred from a community hospital due to clinically rule out acute appendicitis, presented with right lower quadrant abdominal pain with moderate anemia. Pelvic examination revealed right pelvic mass and transabdominal ultrasound confirmed a right adnexal echocomplex mass with free fluid in the cul-de-sac. Urine pregnancy test is positive. Emergency exploratory laparotomy was performed with a preoperative diagnosis of right ectopic pregnancy. Ruptured right ovarian pregnancy was intraoperatively diagnosed. Right oophorectomy was performed. The histopathology confirmed ovarian pregnancy. Her discharge status was complete recover.