DOI: 10.36347/sajb.2017.v05i12.006

Pages: 856-859

Ovarian pregnancy is a rare variant of non tubal ectopic pregnancy with an incidence of around 3 % among all ectopic pregnancies. The diagnosis pre operatively is challenging and is therefore based on intraoperative and histopathological observations. It can result in grave outcomes if left untreated. Hence timely diagnosis and appropriate treatment either medically or surgically is crucial. Here we report a case of ruptured primary ovarian pregnancy, who mainly presented with pain lower abdomen with a positive urine pregnancy test. Based on ultrasound finding a diagnosis of ruptured ectopic pregnancy was made. Laparotomy was performed which revealed a ruptured ovarian pregnancy with hemo-peritoneum. Partial ovarian resection was done and the patient had an uneventful postoperative period. Diagnosis of ovarian pregnancy remains a challenge and is usually confirmed based on intraoperative and histopathological finding. Early diagnosis can be made with high index of suspicion and transvaginal ultrasound by skilled radiologist. This is significantly helpful in reducing maternal morbidity and mortality.