Diagnosticul precoce al sarcinii ovariene – prezentare de caz

Ectopic pregnancy is a serious health problem that leads to ma­­ter­­nal mortality and morbidity. Ovarian pregnancy is a very rare variety of ectopic pregnancy and represents a medical chal­lenge in terms of its management. Although the incidence of ovarian ectopic pregnancy is low, there is a high risk of severe com­pli­ca­tions (hemorrhagic shock) if it’s not identified and trea­ted in time. The symptoms of ovarian ectopic pregnancy can be difficult to distinguish based on ultrasound imaging and clinical examination alone. Laparoscopic management is required for definitive diagnosis and treatment. Identifying these emergent cases early is very important because of the high risk of maternal death. We present the case of a 34-year-old female who accused left lower abdominal pain, whilst she declared 5 weeks and 4 days of amenorrhea and a po­si­tive pregnancy test. Transvaginal sonography identified a gestational sac in the very proximity of the left ovary. La­pa­ro­scopy was performed and so we discovered a purple tu­mor, 3.5/3 cm, with intense vascular drawing, situated on the left ovary. Thus, primary ovarian ectopic pregnancy was diag­nosed and confirmed by histopathology. The postoperative evo­lu­tion was favorable, the patient being discharged the next day postoperatively. Our purpose is to highlight the successful treat­ment with a minimally invasive surgical technique of an ova­rian pregnancy.