title: Medical management of an ovarian ectopic pregnancy: a case report.
abstract: BACKGROUND
  Primary ovarian ectopic pregnancy is a rare type of ectopic pregnancy which has an estimated prevalence ranging from 1:7000 to 1:70,000 accounting for almost 3 % of all ectopic cases. Here we report the case of a 25-year-old woman who presented to our clinic with abdominal pain, 6 weeks' delay of menstruation and 3 days of vaginal bleeding, whose transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. This case shows that early diagnosis is very important particularly in places like the Sub-Saharan region of Africa.
  
  
  METHODS
  A 25-year-old African woman was referred to our clinic with 6 weeks' delay of menstruation, frequent increasing abdominal pain and 3 days of vaginal bleeding. Her general condition was good and her vital signs were normal. She felt tenderness in an abdominal examination and had a small amount of vaginal bleeding. Transvaginal ultrasonography showed an ectopic gestational sac with yolk sac inside, in her right ovary. Our final diagnosis was ectopic ovarian pregnancy and we successfully treated her with methotrexate. After 3 weeks of methotrexate administration her beta human chorionic gonadotropin was negative and a sonographic examination was completely normal.
  
  
  CONCLUSIONS
  Ectopic ovarian pregnancy is a very important medical situation. It should be diagnosed in its early stages otherwise it could be life-threatening and surgical treatment may be inevitable. Because of the importance of fertility, medical treatment is an acceptable option and can be feasible with early diagnosis.
authors.affiliation: Nyala Sudan Turkey Training and Research Hospital, Department of Gynecology and Obstetrics, West Alezza District, Southern Nyala, Darfur, Sudan. ozbirge@gmail.com.
authors.forename: Ozer
authors.initials: O
authors.lastname: Birge
authors.affiliation: Celal Bayar University Hospital, Department of Gynecology and Obstetrics, Manisa, Turkey. mmerkan@gmail.com.
authors.forename: Mustafa Melih
authors.initials: MM
authors.lastname: Erkan
authors.affiliation: Nyala Sudan Turkey Training and Research Hospital, Department of Urology, Nyala, Darfur, Sudan. ottoman4427@yahoo.com.
authors.forename: Ertugrul Gazi
authors.initials: EG
authors.lastname: Ozbey
authors.affiliation: Nyala Sudan Turkey Training and Research Hospital, Department of Urology, Nyala, Darfur, Sudan. denars35@gmail.com.
authors.forename: Deniz
authors.initials: D
authors.lastname: Arslan
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D000019:Abortifacient Agents / Q000008:administration & dosage*; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008727:Methotrexate / Q000008:administration & dosage*; D010053:Ovary / Q000000981:diagnostic imaging* / Q000473:pathology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis*; D016896:Treatment Outcome; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology
chemical_list: D000019:Abortifacient Agents; D018997:Chorionic Gonadotropin, beta Subunit, Human; D008727:Methotrexate