Overview

Original Research

CHRONIC OVARIAN ECTOPIC PREGNANCY – AN UNUSUAL OCCURRENCE: A CASE REPORT

SHAILZA VARDHAN 1, SAMTA GUPTA 2, VATSALA GUPTA 3, MEGHA RANJAN 4, SHIVANGINI SAHAY 5, and AKANKSHA 6.

Vol 18, No 11 ( 2023 )   |  DOI: 10.5281/zenodo.10153377   |   Author Affiliation: Assistant Professor (Department of Obstetrics and Gynaecology), Sharda University School of Medical Sciences and Research, India 1; Professor & Unit Head, Department of Obstetrics & Gynecology, School of Medical Sciences & Research, Sharda Hospital 2; Assistant Professor (Department of Pathology), Sharda University School of Medical Sciences and Research, India 3; Associate Professor (Department of Obstetrics and Gynaecology), Sharda University School of Medical Sciences and Research, India 4; Senior Resident (Department of Obstetrics and Gynaecology), Sharda University School of Medical Sciences and Research, India 5; Post graduate student (Department of Obstetrics and Gynaecology), Sharda University School of Medical Sciences and Research, India 6.   |   Licensing: CC 4.0   |   Pg no: 424-428   |   Published on: 18-11-2023

Abstract

Background: Ovarian ectopic pregnancy is a rare variant of ectopic implantation of the blastocyst in ovary. The incidence of ectopic pregnancies is estimated to be between 1% and 2%. Case Report: This is a case report of a 29 years old female Para 2 Living issue 2 who presented with complaints of secondary amenorrhea for 4 months, pain in lower abdomen since 1 month and fever for 1 month. Her exploratory laparotomy with right sided salpingoopherectomy was done and preoperative observations include a normal size uterus, right sided ovarian mass of around 7×8 cm with multiple hemorrhagic area with solid component. Right fallopian tube normal Left side tube and ovary were normal. Her histopathological report confirmed the diagnosis of chronic ovarian ectopic. Conclusion: The diagnosis of chronic ectopic pregnancy is very difficult and misleading because of the varying clinical presentation of the patient ranging from mild to severe symptoms, urine pregnancy test is usually negative and poor specificity of ultrasound imaging technique to diagnose chronic ectopic pregnancy.

Keywords

Chronic Ovarian Ectopic Pregnancy, Ovarian Ectopic Pregnancy, Laparotomy.