Abstract

Introduction

Ovarian ectopic pregnancy is a rare varient of ectopic implantation. It ends with rupture before the end of 1^st trimester because of increase vascularization of the ovarian tissue which leads to internal hemorrage and hypovolemic shock.

Its incidence after natural conception ranges from 1 in 2000 to 1 in 6000 deliveries, and accounts for 3% of all ectopic pregnancy one in every ectopic pregnancies among intrauterine device users is an ovarian pregnancy.

The diagnosis is intricated and based on surgical and histological observation. Ectopic pregnancy implanted in the ovary is rare. Traditional risk factor for ovarian ectopic pregnancy are similar to those of tubal pregnancy but use of IUD is disproportionately associated.

Aim

To present a case of successful laprotomy for ovarian ectopic pregnancy

Setting: Department of obstetrics and Gynaecology Katihar Medical College, Katihar

Case Summary

A, 33 years old multigravida with 1 and half months of amenorrhea presented in obstetrics casualty with chief complain of pain abdomen since 3 days. Pain was all over the abdomen with no aggravating or relieving factor. Pain was continuous and radiated to left shoulder. There was also history of nausea and syncopal attack there was also history of spotting P/V since 3 days. Her previous menstrual cycle was normal. There was no significant past, personal or surgical history.