title: Complex ovarian pregnancy.
abstract: BACKGROUND
  Ovarian pregnancy is a rare occurrence. Normally it ends spontaneously in the first trimester. However, it can turn into a life-threatening condition if it ruptures, leading to hemoperitoneum and hypovolemic shock. Diagnosis usually is made with high-resolution transvaginal ultrasonography, and laparoscopic treatment follows.
  
  
  METHODS
  We report on a case of ovarian pregnancy seen in the southeast of Madagascar. Laparotomy revealed the presence of a fully developed, mummified fetus in the right ovary. Surprisingly, the ovary capsule had not ruptured and the patient had no complaints or signs of intra-abdominal bleeding.
  
  
  CONCLUSIONS
  In rare cases, an aborted ovarian pregnancy can persist for years, producing no symptoms except abdominal swelling.
authors.affiliation: From the Department of Surgery, Ludwig-Maximilians-University, Munich, Germany; and the Departments of Obstetrics and Gynaecology, Santi Antonio e Biagio e Cesare Arrigo Hospital of Alessandria, and Santo Spirito Hospital, Alessandria, Italy.
authors.forename: Costanza
authors.initials: C
authors.lastname: Chiapponi
authors.forename: Oria
authors.initials: O
authors.lastname: Trifoglio
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiapponi
mesh_terms: D000328:Adult; D005260:Female; D005313:Fetal Death; D006801:Humans; D010053:Ovary / Q000000981:diagnostic imaging; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography