Case Report: A Case of Recurrent Ruptured Ovarian Pregnancy

Abstract

Ovarian ectopic pregnancy is a highly unusual condition, representing just 0.5–3% of ectopic pregnancies, and its recurrence is very rare. We discuss a 35-year-old multigravida (G3P1L1A1) who has a previous right oophorectomy due to a ruptured ovarian ectopic pregnancy four years ago. She conceived spontaneously and arrived at 5 weeks’ gestation with acute lower abdominal pain and hemodynamic instability. Upon admission, she exhibited tachycardia (110/min), hypotension (90/60 mmHg), and along with widespread abdominal tenderness and forniceal tenderness during pelvic examination. Laboratory testing showed a hemoglobin level of 7.1 g/dL. An emergency laparotomy showed 700 mL of hemoperitoneum containing 300 g of clots and a ruptured left ovarian ectopic pregnancy, while the left fallopian tube appeared normal proceeded with left salpingo-oophorectomy, histopathology revealed the same