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Ovarian ectopic pregnancy

Case contributed by Naqibullah Foladi
Diagnosis probable

Presentation

Vaginal bleeding and pelvic pain. Positive beta-HCG.

Patient Data

Age: 30 years
Gender: Female

Transabdominal

ultrasound

Gestational sac is noted in the right ovary. Right ovary was not distinctly visible.

The mean gestational sac diameter corresponding to a pregnancy of 6 weeks.

The uterus with its endometrium was intact. No gestational sac within it.

Case Discussion

The features combined with history and lab correlation is suggestive of ectopic pregnancy - ovarian rather than tubal pregnancy. For more definite characterisation, transvaginal ultrasound can better demonstrate the findings and clearly separate a tubal from ovarian pregnancy. This patient was lost to follow up.

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