TITLE:
Ovarian Pregnancy: Diagnosis and Management of a Rare Case of Ectopic Pregnancy
AUTHORS:
Gerard Okon, Roland Adjoby, Stephane Kume, Corneille Saki, Fahimat Tijani, Abdoulaye Diallo, Mouhideen Oyelade, Aude-Lima Djiro, Isaac Kouamé, Dominique N’Zi, Youssouf Diabaté, Eric Bohoussou, Privat Guié
KEYWORDS:
Ovarian Pregnancy, Ultrasound Diagnosis, Surgical Complications
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.11,
October
30,
2024
ABSTRACT: Ectopic pregnancy (EP) is a common gynecological emergency, with ovarian pregnancy (OP) being a rare form, representing about 3% of EP cases. OP poses diagnostic and therapeutic challenges due to its often-asymptomatic progression and nonspecific clinical presentation. We report the case of a 32-year-old primiparous woman diagnosed with an ovarian pregnancy by ultrasound. The patient frequently used emergency contraceptives and presented with intermittent pelvic pain and secondary amenorrhea with positive urinary β-HCG tests. Ultrasound revealed a lateral uterine gestational sac attached to the left ovary, containing a living fetus of 15 weeks + 6 days, with moderate fluid accumulation. Upon admission, the patient was in shock with severe anemia and hemoperitoneum, necessitating emergency laparotomy. The laparotomy revealed a hemoperitoneum of 1400 mL and a hyper vascularized mass involving the left ovary, requiring left adnexectomy. The mass contained a deceased male fetus of 16 weeks. This case highlights the need for heightened vigilance and precise diagnostic and therapeutic approaches for rare forms of EP to prevent severe complications.