DOI: 10.36347/sjmcr.2018.v06i05.004

Pages: 304-306

Ovarian heterotopic pregnancy is a rare diagnosis with few reported cases. Extremely rare among women who conceive naturally, the occurrence of an ovarian heterotopic pregnancy is a singular event as it comprises only 2.3% of all heterotopic pregnancies. We describe a case of a 42-year old patient in the 12th gestational week with a diagnosis of ruptured primary ovarian heterotopic pregnancy. A transabdominal ultrasound scan showed an ovarian and an intrauterine heterotopic pregnancy with large hemoperitoneum. This was managed by laparotomy. Heterotopic pregnancy can occur in the absence of any predisposing risk factors, clinical awareness is advised. Early diagnosis and adapted treatment can lead to a successful intrauterine pregnancy outcome.