Ovarian Ectopic Pregnancy: A Rare Case Report in a Resource-Limited Setting

Background: Ovarian ectopic pregnancy (OEP) is a rare form of ectopic pregnancy which occurs when a fertilized ovum implants into the ovary. The most common risk factor is prior use of IUCD. Management of OEP can be conservative or surgical. Case: We report a 32-year-old Gravida 2 Para 0010 with a history of right ectopic pregnancy successfully managed medically two years ago who came presenting with severe right lower abdominal pain and 08 weeks amenorrhea. Pregnancy test was positive, laparotomy revealed presence of an unruptured right fluid filled ovarian mass which was removed through wedge resection. Conclusion: Ovarian ectopic pregnancy should be considered in all reproductive age women who present with severe acute abdominal pain and positive pregnancy test even if ultrasound findings are inconclusive especially in low resource setting were quantitative serum β HCG and laparoscopy are not available. Keywords: Ovarian ectopic pregnancy, laparotomy, case report, low resource setting.