Pushpa Sirichand Sachdev, Rashid A Memon, Nasreen Jatoi, Champa Susheel Sachdev.
Ectopic Ovarian Pregnancy.
J Coll Physicians Surg Pak Jan ;13(4):229-30.

A case of ectopic ovarian pregnancy is presented occurring in a 24 years old woman after natural conception. The clinical diagnosis was ruptured tubal pregnancy. Gross findings were suggestive of ruptured corpus luteum cyst on exploration. The histopathological examination of specimen brought forward the diagnosis of ovarian pregnancy.

Case Report: A nulliparous woman, 24 years of age, reported in emergency at a private nursing home with severe lower abdominal pain following 5 weeks amenorrhea. She was married for four months. Her previous menstrual cycles had been normal. Her physical examination revealed cold clammy skin. Pulse was of low volume with a rate of 120 beats/ minute and the blood pressure was 80/60 mmHg. Vaginal examination revealed tender and bulging right and posterior vaginal fornices. A suspicion of ruptured tubal ectopic pregnancy led to exploratory laparotomy. On exploration approximately 500 mls of blood was found in the peritoneal cavity. Fallopian tubes, uterus and left ovary were normal. The right ovary was enlarged, cystic and actively bleeding and was assumed intraoperatively to be corpus luteum cyst or less likely an ovarian pregnancy. Partial oophorectomy was performed, ovary repaired and peritoneal cavity was washed. Histological examination of the ovarian specimen identified corpus luteum and chorionic villi attached to the ovarian tissue. The chorionic villi were admixed with partly necrotic decidual tissue and tiny blood clots. The rest of the ovarian stroma was markedly congested. Fetal parts were not identified.

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