Primary Ovarian Pregnancy – Histopathology Remains the Key to Confirming Diagnosis

Background:Ectopic pregnancy occurs in 2% of all pregnancies. Primary ovarian pregnancy is a rare entity and accounts for only 0.15- 3% of all ectopic gestations. It usually ends with rupture before the end of first trimester. The diagnosis is often made intraoperatively and confirmed histopathologically. Case Report:A 23 yr old female presented with severe hypogastric abdominal pain with no history of amenorrhea. She underwent a laprotomy and a right sided salpingoophorectomy and the excised material was sent for histopathological examination. Chorionic villi were seen within the ovarian stroma suggesting the likely possibility of an ovarian pregnancy. Conclusion:Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. Discussion: This highlights the importance of histopathology for the accurate diagnosis of this condition. Key words: ectopic, ovarian, histopathology, chorionic villi, ovarian stroma.