Ovarian Pregnancy.

Ovarian pregnancy is rare, with an estimated incidence of 1/7000 pregnancies. The usual risk factors and etiopathogenic mechanisms of this condition remain unknown. The exact criteria for diagnosis were established by SPIEGELBERG more than a century ago. Diagnosis of ovarian pregnancy remains difficult because of insufficient clinical and ultrasonographic findings. Nevertheless, early diagnosis of ectopic pregnancies, including ovarian localization, greatly benefited from advances in endovaginal ultrasonography and dosages of seraum beta HCG. We report a case of a left ovarian pregnancy diagnosed at 7 + 4 weeks’ gestation in our department. The diagnosis was suspected by ultrasound and confirmed by histological examination. The patient underwent surgery with uneventful postoperative course. We discuss risk factors, diagnosis, prognosis, and management of ovarian pregnancy referring to literature.