We report the case of extrauterine intraovarian pregnancy of a young woman. The patient was preoperatively examined by ultrasound which revealed extrauterine pregnancy of the fourth lunar month. Histologically, intraovarian gravidity of four months was proven.
PIP: Reported is the case of a 36-year-old IUD user with an extrauterine intraovarian pregnancy that was revealed through ultrasonography. The patient presented with a slightly enlarged uterus and a 3-month history of amenorrhea. Sonography showed the uterus to be shifted to the right side with a nonhomogeneous cystic mass to its left. This mass was identified as the amnial cavity with a fetus of approximately 13 weeks' gestation. The IUD was extracted from the uterine cavity, and a D & C was performed. Laparotomy failed to show pathologic changes in the right Fallopian tube or ovary, but revealed a 12 cm diameter tumor growing from the left ovary and fixed to the uterine edge and cavum Douglasi. The abdominal cavity contained a small amount of liquid and coagulated blood. The cyst was ruptured during attempted luxation, and both amnial liquid and the 13 cm long fetus were drained away. Since the placenta had grown into the tissue of the deformed ovary, pregnancy extirpation and ovariectomy were performed. Also necessary, given the deformation of the Fallopian tube, was a salpingectomy.