Ovarian ectopic pregnancy: a review article

  • Dr. Pragati Meena Department of Obstetrics Gynecology, NIMS Medical College and Hospital, Shobha Nagar, Delhi Highway Jaipur, Rajasthan, India
  • Dr. Poonam Bhojwani Department of Obstetrics Gynecology, NIMS Medical College and Hospital, Shobha Nagar, Delhi Highway Jaipur, Rajasthan, India
  • Dr. Gajendra Singh Verma Department of Obstetrics Gynecology, NIMS Medical College and Hospital, Shobha Nagar, Delhi Highway Jaipur, Rajasthan, India
Keywords: Ectopic pregnancy, Laparotomy, Salpingoophorectomy, Methotrexate


Ectopic pregnancy is a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies. Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2ndmost common site of ectopic pregnancy after fallopian tube. Annual incidence of extra uterine cavity pregnancy is rising over past 3 yrs. The aim of ourpresent study isto find out the incidence of ovarian ectopic pregnancy, role of USG in pre-operative diagnosisand risk factors, feasibility of conservative management with medical method or conservative management e.g. minimal invasive surgery in developing countries like India. We analysed the incidence, management of ovarian pregnancy & reviewed the literature, risk factors and clinical presentation of ovarian ectopic pregnancies managed at NIMS Medical College and Hospital jaipur. According to Spielberg criteria, it is a diagnostic challenge to obstetrician. Diagnosis of ectopic pregnancy can be missed radio logically and intra operatively. It Should be suspected in patients presented with rupturedectopic pregnancy, ultrasound features suggestive of normal bilateralfallopian tube with hemo peritoneum with breached ovarian surface. Conservative surgical approach is preferred, now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathological report. Now daysMedical management with single dose of Methotrexate is very successful for un ruptured ovarian pregnancy


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Ovarian ectopic pregnancy: a review article
DOI: 10.17511/joog.2017.i04.06
Published: 2017-12-31
How to Cite
Meena, P., Bhojwani, P., & Singh Verma, G. (2017). Ovarian ectopic pregnancy: a review article. Obs Gyne Review: Journal of Obstetric and Gynecology, 3(4), 63 70. https://doi.org/10.17511/joog.2017.i04.06
Review Article