Ovarian Ectopic Pregnancy in a Woman with a History of Frequent Abortions and Low β-hCG Levels

Background: The ovarian ectopic pregnancy (OEP) is a rare complication in which the gestational sac is implanted inside the ovary tissue. There are few reports in the literature on OEPs following abortions. The present study aimed to report a case of OEP with frequent abortions and low β-hCG levels. Case Presentation: The patient in this study was a ۲۹-year-old woman referred to a hospital with the complaint of abdominal pain and vomiting, and she had a history of five abortions. The patient's β-hCG level was low, and the results of the pelvic ultrasound showed a right adnexal mass with a dimension of ۷×۶ cm. Moreover, the uterus was seen with normal dimensions and there was no clear image of the pregnancy sac. Hemorrhagic fluid was also observed in the pelvic cavity, especially in the around right adnexa. Thereafter, the patient underwent a laparotomy, and after the suction of abdomen and pelvis blood, the surgeon noticed that the right ovary was torn with bleeding. During the surgery process, wedge resection and blood homeostasis were done. Thereafter, the samples of wedge resection were sent for histology assessments, and finally, the existence of placenta tissue in the adjacency of the ovary tissue confirmed OEP. The patient was discharged on day ۳ after the surgery. Conclusions: This report aimed to inform surgeons of a rare complication, namely OEP happening with low β-hCG levels and following frequent abortions.

Keywords:

Ovarian Ectopic Pregnancy , Miscarriage , Beta Human Chorionic Gonadotropin