Three Cases of Primary Ovarian Pregnancy

Kim, N H; Jo, W H; Kim, S E; Chae, I H; Cho, B C

Abstract

Primary ovarian pregnancy is a rare form of ectopic pregnancy. Its estimated overall incidence is highly variable, but improved diagnosis of acute hemoperitoneum of ovarian pregnancy may reveal a higher incidence than reported earlier. Ovarian pregnancy usually presents with abdominal pain, menstrual irregularities, vaginal bleeding, a palpable adnexal mass and other symptoms which are very similar to those of tubal ectopic pregnancy and hemorrhagic corpus luteum cysts. Risk factors to ovarian pregnancy include a history of pelvic inflammatory disease, prior pelvic surgery, use of an intrauterine device (IUD), and endometriosis. We have experienced three cases of ovarian pregnancy, which are presented with a brief review of the literature.