title: Laparoscopic management of an ovarian ectopic pregnancy: case report.
abstract: Ovarian pregnancy is a rare variant of ectopic gestation. The diagnosis is often made at surgery and requires histological confirmation. The condition has not been reported locally and its diagnosis is easily missed. A case of an ovarian ectopic pregnancy in a 41 year old para 1 + 1 with secondary infertility is reported. The patient presented with lower abdominal pain and vaginal bleeding at six weeks gestation with a serum B-hCG of 79.12 mlU/L. An ultrasound showed a complex left adnexal mass. She underwent a diagnostic and operative laparoscopy. A left oophorectomy was performed due to difficulty in achieving haemostasis.
authors.affiliation: Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Nairobi, P.O. Box 16963-00100, Nairobi, Kenya.
authors.forename: Y
authors.initials: Y
authors.lastname: Patel
authors.forename: S Z
authors.initials: SZ
authors.lastname: Wanyonyi
authors.forename: F S
authors.initials: FS
authors.lastname: Rana
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010052:Ovariectomy; D010053:Ovary / Q000601:surgery*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D012421:Rupture / Q000601:surgery; D014463:Ultrasonography