Diagnosis and clinical approach in primary ovarian ectopic pregnancy: A case report and review of the literature

Primary ovarian pregnancy is a rare type of extrauterinepregnancy with an incidence of 0.5-1% of all ectopic pregnancies.The incidence ranges from 1/40000 to 1/7000deliveries. We report a primary ovarian pregnancy in aspontaneus conception cycle in a 40-year-old womanwith no predisposing factor. The patient was admitted tothe emergency clinic with signs and symptoms of acuteabdomen with heamoperitoneum , in a preshock state. Anemergency laparotomy and wedge resection of the ovarywas performed. Histopathologic examination showedchorion villi embedded in the ovarian tissue in multiplesections in different areas of the material. This is a discussionabout this rare phenomenon, its ethiology, differentialand clinical diagnosis and a review of literature.Key words: Ectopic, pregnancy, ovary