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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 9856802, 3 pages
https://doi.org/10.1155/2017/9856802
Case Report

The Unexpected Ovarian Pregnancy at Laparoscopy: A Review of Management

Department of Obstetrics and Gynaecology, The Royal Women’s Hospital, 20 Flemington Road, Parkville, VIC 3052, Australia

Correspondence should be addressed to Meher Tabassum; moc.kooltuo@mussabat.rehem

Received 17 May 2017; Revised 7 August 2017; Accepted 13 August 2017; Published 11 September 2017

Academic Editor: Erich Cosmi

Copyright © 2017 Meher Tabassum and Kiran Atmuri. 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

Ovarian ectopic pregnancies are a rare occurrence; however the incidence is on the rise. Preoperative diagnosis remains difficult due to nonspecific clinical symptoms and USS findings. Most patients undergo diagnostic laparoscopy with subsequent surgical management. We present the case of a 32-year-old female who presented with vaginal bleeding and an unsited pregnancy, with a BhCG of 24693. Formal USS described unruptured right tubal ectopic with ovarian pregnancy being diagnosed at laparoscopy. A wedge resection was conducted to preserve ovarian function. Postoperative recovery was uneventful and BhCG levels returned to zero (nonpregnant) in an outpatient setting. Although laparoscopy remains the gold standard of diagnosis and treatment, in this case report we discuss benefits of early diagnosis for fertility conserving management, including nonsurgical options.