PT - JOURNAL ARTICLE AU - Sangeeta Jha AU - Kate Bosworth AU - Asif Quadri AU - Arshad Ibrahim TI - Ovarian ectopic pregnancy AID - 10.1136/bcr.08.2010.3250 DP - 2011 Nov 15 TA - BMJ Case Reports PG - bcr0820103250 VI - 2011 4099 - http://casereports.bmj.com/content/2011/bcr.08.2010.3250.short 4100 - http://casereports.bmj.com/content/2011/bcr.08.2010.3250.full AB - The authors report the rare case of a 25-year-old female who suffered from an ovarian ectopic pregnancy. She presented at 10 weeks gestation with a 1-day history of vaginal bleeding and lower abdominal discomfort. β-human chorionic gonadotropin concentration was 8538 IU/ml. Ultrasound showed a right adnexal mass 4.0 × 3.8 × 5.5 cm with a 16 mm cystic area suggesting right ovarian ectopic pregnancy. Diagnostic laparoscopy confirmed a ruptured right ovarian ectopic pregnancy with haemoperitoneum. This was excised laparoscopically. She made a good postoperative recovery and was discharged on the second postoperative day. Histology confirmed a ruptured ovarian ectopic pregnancy. Ovarian ectopic pregnancy is a rare condition. There are two features that make this an unusual case; the relatively late gestation at which she presented and her mild presenting features. Unlike tubal ectopic pregnancies, which usually present at earlier gestations, this patient presented relatively late. She also presented with mild symptoms and signs.