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-asymptomati...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.展开更多
文摘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.
