“…Because the localization of early symptoms of an ovarian gravidity are unspecific but due to the extraordinary vascularization of the ovary, early diagnosis is important to avoid severe cases of emergency. Preoperative diagnosis of ovarian pregnancy is difficult, because the clinical findings are similar to those of tubal pregnancy, hemorrhagic ovarian cyst, endometrioma, and other pelvic disease (19)(20)(21)(22)(23). Nevertheless, early differential diagnosis by TVS has been described (1, 2, 15, 16, 24-26).…”