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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 740376, 3 pages
http://dx.doi.org/10.1155/2015/740376
Case Report

An Ovarian Pregnancy in a Patient with a History of Bilateral Salpingectomies: A Rare Case

Department of Obstetrics and Gynecology, King’s County Hospital Center, Brooklyn, NY, USA

Received 12 September 2014; Revised 6 March 2015; Accepted 7 March 2015

Academic Editor: Babatunde A. Gbolade

Copyright © 2015 Sadia Khandaker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. 1 in 200 ectopic pregnancies are true ovarian pregnancies that fulfill the Spiegelberg criteria. Despite being rare, multiple case reports and series have been reported. Few cases have been published in which the event was preceded by salpingectomy. Case. The patient is a 32-year-old female who presented to the emergency room with abdominal pain. She was found to be pregnant, despite a history of two previous ectopic pregnancies treated with salpingectomies. Sonography confirmed a left adnexal mass and free fluid. Surgery revealed a ruptured ovarian pregnancy which was also confirmed by pathology. Conclusion. This is a case of an ovarian pregnancy in a patient with two previous salpingectomies. It underscores the importance of searching for an ectopic pregnancy in patients with abdominal pain after fertility impairing surgery.