Background: Ovarian ectopic pregnancy (OEP) is a rare and life-threatening condition, accounting for 0.5-3% of ectopic pregnancies. Its rupture in early gestation poses significant diagnostic and therapeutic challenges, particularly in resource-limited rural settings. To report a Objectives: rare case of ruptured OEP in early gestation, emphasizing diagnostic challenges, management, and the importance of timely intervention in rural healthcare settings. A 27-year-old multigravida pre Methodology: sented with acute abdominal pain, hemodynamic instability, and hemoperitoneum. Transvaginal ultrasound revealed an extra-uterine gestational sac in the right adnexa and hemoperitoneum. Emergency laparotomy with partial oophorectomy was performed due to hemodynamic instability. Postoperative recovery was monitored, and the patient was discharged in stable condition. The patient presented with severe anemia (Hb 9.0 g/dL), elevated β-h Results: CG (226.6 mIU/mL), and ultrasonographic findings of a right adnexal mass with hemoperitoneum. Surgical intervention confirmed a ruptured OEP with 500 cc of intraperitoneal blood. The patient stabilized postoperatively after blood transfusion and was discharged on the fifth day. The case highlights the diagnostic dilemma of OEP, which mimics other gynecological emergencies, and underscores the critical role of prompt surgical management in hemodynamically unstable patients. Ruptured OEP, though rare, requires high clinical suspicion and u Conclusion: rgent intervention to prevent life-threatening complications. Improved diagnostic protocols and resource allocation in rural settings are essential to reduce maternal morbidity and mortality.
Joshi et al. (Mon,) studied this question.