Advanced ectopic pregnancy

Discussion:

Transvaginal US images reveal a right adnexal mass with gestational sac and a normal 11-week embryo. The ovary itself was not identified on imaging. 

Surgery and anatomopathological study confirmed right ovarian ectopic pregnancy.

Ovarian ectopic pregnancy is rare, estimated ranging from 0.5 to 3.0% of all ectopic gestations 1. The ovaries are described with a capacity to accommodate an ectopic pregnancy without rupture for longer than the tubes, such as in this case, although about 75% of ovarian gestations will rupture early in the first trimester 1

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