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Ruptured ovarian ectopic pregnancy presenting with an acute abdomen.
Louise Dunphy1, Frances Wood2, Joanne Hallchurch3
1Department of Obstetrics, Leighton Hospital, Crewe, UK Louise.Dunphy@doctors.org.uk.
BMJ Case Reports
|December 19, 2022
Summary
Primary ovarian ectopic pregnancy is rare but life-threatening. Early diagnosis is crucial, even when patients appear hemodynamically stable, as this case highlights diagnostic challenges.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Emergency Medicine
Background:
- Ectopic pregnancy affects 2% of all pregnancies; primary ovarian ectopic pregnancy (OP) is rarer (<2% of ectopics).
- Risk factors include ovulation induction, IUD use, IVF, multiparity, and younger age.
- OP diagnosis is challenging, often mistaken for other conditions, with definitive diagnosis via laparoscopy and histology.
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