Rare case of Ovarian Ectopic Pregnancy

Ovarian pregnancy is a rare form of  ectopic pregnancy. It constitutes to 1% of all ectopic pregnancies which usually  ends with rupture before the end of the first trimester. We report here one such uncommon case of ovarian ectopic pregnancy. 38 years old P2L2 woman with one previous cesarean section and one VBAC with history of IUCD for 5 years presented with hypovolemic shock. During laparotomy, ruptured right ovarian ectopic pregnancywith 1.5 litres of  haemoperitoneum was found , and wedge resection  of the ovary was  done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy. Intra uterine devices (IUD) is one of contraceptive methods which prevents intra-uterine implantation in 99.5%, if implant occurs with IUD, it is tubal implantation in 95% of cases, and it is very rare in other places such as ovary. The most important risk factor of ovarian ectopic pregnancy is IUD as in this study it was showed.