Primary ovarian pregnancy: histopathology remains the key to confirming diagnosis setting

Abstract

Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity and accounts for only 0.15-3% of all ectopic gestations. It usually ends with rupture before the end of first trimester. The diagnosis is often made intraoperatively and confirmed histopathologically. A 23 year old female presented with severe hypogastric abdominal pain with no history of amenorrhea. She underwent a laprotomy and a right sided salpingo-oopherectomy and the excised material was sent for histopathological examination. Chorionic villi were seen within the ovarian stroma suggesting the likely possibility of an ovarian pregnancy. Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. This highlights the importance of histopathology for the accurate diagnosis of this condition.

An Audit of primary ovarian pregnancy in a tertiary care hospital

“…12 Therefore, histopathological confirmation is important. 13 Histopathology shows chorionic villi embedded in the ovarian parenchymal tissue. 9 All the cases in the present study had histopathological confirmation.…”