title: Ovarian pregnancy without definitive pathologic confirmation: a case report.
abstract: BACKGROUND
  Ovarian pregnancy is one of the rarest forms of ectopic pregnancy. Diagnosis is based on criteria established in 1878 by Spiegelberg; they require specific pathologic characteristics in order to formally confirm an ovarian pregnancy.
  
  
  METHODS
  A woman presented with a clinical picture of ectopic pregnancy that, upon exploration, seemed to be ovarian. Although the pathologic picture did not meet the exact definition of ovarian pregnancy, the final pathology and clinical follow-up could not be explained by any other diagnosis.
  
  
  CONCLUSIONS
  Considering our experience and other reported cases, we think that the Spiegelberg criteria for the diagnosis of ovarian pregnancy require reconsideration and perhaps modification.
authors.affiliation: Department of Obstetrics and Gynecology, Bridgeport Hospital, Yale School of Medicine, Connecticut, USA. abidiali@hotmail.com
authors.forename: Alireza
authors.initials: A
authors.lastname: Abidi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Gordon
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Harman
authors.forename: Marguerite
authors.initials: M
authors.lastname: Pinto
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000592:standards*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery