A rare case of large ovarian ectopic pregnancy managed by fertility preserving surgery

Ectopic implantation of fertilized egg in the ovary is rare. Risk factors are similar to those for tubal pregnancies. Presenting complaints and findings mirror ectopic pregnancy. Although can accommodate expanding ovarian pregnancy more easily than fallopian tube, rupture at an early stage usual consequence. Diagnosis may not be made until surgery or by pathologist as mimic haemorrhagic corpus luteum. Use transvaginal sonography has resulted a frequent diagnosis unruptured Sonographically, internal anechoic area surrounded wide echogenic ring, which turn cortex suspicious ectopic. specific criterion outlined Spiegelberg 1878. Treatment been surgical almost all known Small lesions managed wedge resection cystectomy, whereas larger require oophorectomy. In few cases small ectopics, have methotrexate therapy with successful outcome. Here we presented case primigravida having large successfully excising alone.