Right Ovarian Ectopic Pregnancy in Young Woman with History of Right Salpingectomy; A Rare Case Report

Ovarian pregnancy is a rare form of ectopic pregnancy, and usually is diagnosed after complication. The most common risk factor for ovarian pregnancy is the use of the intrauterine devices (IUD). Case Report: Our patient was a 20-year-old woman with a history of salpingectomy, gravid 2, with one previous ectopic pregnancy presented with abdominal pain for one week, nausea, vomiting, and orthostatic hypotension. Beta-human chorionic gonadotropin (βhCG) was positive with a titer of 105000 mIU/ml. Sonography showed a uterus of normal size with no gestational sac, but an echogenic mass with size of 44 × 32 mm at the right adnexa, and with free fluid in abdomen was detected, ectopic pregnancy was suggested, and laparotomy was performed. In women that present with history of menstrual retard, abdominal pain, and spotting, ectopic pregnancy is the first differential diagnosis. Patient should be evaluated by checking βhCG and sonography, and be treated based on clinical examination and paraclinical evidence.