Primary Ovarian Ectopic Pregnancy

Abstract

Background: Incidence of ovarian ectopic pregnancy is about 0.001% to 0.013% of normal pregnancies. Pregnancy with Copper T device in-situ comes with increased chances of ectopic pregnancy. Case Report: A 23-year lady with intrauterine copper-T device (Cu T 380A) in-situ, presented with complaint of pain in lower abdomen. There was no history of overdue of menstruation. Her urine pregnancy was positive, per vaginum examination showed tenderness and fullness in right fornix, βHCG=4300, ultrasound showed free fluid in pouch of Douglas. Laparotomy showed hemoperitoneum and ruptured right ovarian ectopic pregnancy. Wedge resection and reconstruction of ovary was done. Histopathological examination confirmed ovarian ectopic pregnancy. Conclusion: Recognizing ovarian ectopic pregnancy is of critical importance, and should be considered in the differential diagnosis of acute abdomen in women of reproductive age.

A rare case of ovarian ectopic pregnancy with IUD in situ: A case report from Nepal

“…Another case of primary ovarian ectopic pregnancy with IUD in situ was managed with laparotomy, wedge reconstruction, and repair of the ovary. 14 The defect was limited on the superficial surface which was managed with reconstructive procedures in that case. On the contrary, in our case the defect was deep and fetal tissue invaded the ovary.…”

“…Additionally, in most case studies in women with ectopic pregnancy and IUD in situ are invariably ovarian pregnancies. [11][12][13][14]16 With these evidences, it looks necessary to further study the association of IUD and ovarian pregnancy and thus highlight the concept of "IUD Associated Ovarian Pregnancy Phenomenon." The idea is, IUD leads to mild inflammation of the uterus and nearby fallopian tube and also may lead to obstruction in ovum conveyance.…”

“…The patient in our study was tachycardic, and ultrasonography revealed features of gross collection intraperitoneally and was managed with laparotomy. Another case of primary ovarian ectopic pregnancy with IUD in situ was managed with laparotomy, wedge reconstruction, and repair of the ovary 14 . The defect was limited on the superficial surface which was managed with reconstructive procedures in that case.…”

A rare case of Ovarian ectopic pregnancy with IUD in situ: A case report

“…The patient in our study was tachycardic and ultrasonography revealed features of gross collection intraperitoneally and was managed with laparotomy. Another case of primary ovarian ectopic pregnancy with IUD in situ was managed with laparotomy, wedge reconstruction and repair of the ovary [12]. The defect was limited on the superficial surface which was managed with reconstructive procedures in that case.…”

“…Most case studies in women with ectopic pregnancy and IUD in situ are invariably ovarian pregnancy [9][10][11][12]14]. With these evidences, it looks necessary to further study the association of IUD and Ovarian pregnancy and thus highlight the concept of 'IUD Associated Ovarian Pregnancy Phenomenon'.…”