A Rare Case of Second-Trimester Ovarian Pregnancy Rupture With Neurologic Presentation
  
A Rare Case of Second-Trimester Ovarian Pregnancy Rupture With Neurologic Presentation
Written By: user IJCP Editorial Team
Published On: 12 Dec, 2025 4:56 PM | Updated On: 12 Dec, 2025 5:11 PM

A Rare Case of Second-Trimester Ovarian Pregnancy Rupture With Neurologic Presentation

Ovarian pregnancies account for approximately 3% of all ectopic pregnancies. Second-trimester ovarian pregnancies are extremely rare. We report a case of ruptured ovarian pregnancy in the second trimester presenting with abrupt mental status change. A 26-year-old woman with no antenatal care arrived at the emergency department with coma and respiratory failure. Pelvic ultrasound revealed massive pelvic fluid collection. Exploratory laparotomy identified a ruptured right ovarian pregnancy with the fetus expelled into the pelvic cavity. This case highlights the importance of antenatal care and timely ultrasonographic evaluation to confirm intrauterine pregnancy.

A 26-year-old woman with no antenatal care presented in a comatose state with severe hypoxia and hemodynamic instability. Initial cardiopulmonary evaluation was unremarkable, but rapidly developing abdominal distension raised concern for internal bleeding. Pelvic ultrasound showed significant pelvic fluid, and hemoglobin was 4.8 g/dL.

Emergency laparotomy revealed massive hemoperitoneum and a ruptured right ovarian pregnancy with the fetus expelled into the pelvic cavity. Right oophorectomy was performed, complicated by disseminated intravascular coagulation requiring extensive transfusion. The patient also developed transient acute kidney injury but recovered with supportive care.

Histopathology confirmed ovarian pregnancy. This rare second-trimester presentation highlights the critical need for timely antenatal care and routine ultrasound to confirm intrauterine implantation.

user
IJCP Editorial Team

Comprising seasoned professionals and experts from the medical field, the IJCP editorial team is dedicated to delivering timely and accurate content and thriving to provide attention-grabbing information for the readers. What sets them apart are their diverse expertise, spanning academia, research, and clinical practice, and their dedication to upholding the highest standards of quality and integrity. With a wealth of experience and a commitment to excellence, the IJCP editorial team strives to provide valuable perspectives, the latest trends, and in-depth analyses across various medical domains, all in a way that keeps you interested and engaged.

 More FAQs by IJCP Editorial Team
Offspring Metabolic Outcomes Across Subtypes of Gestational Diabetes

All subtypes of gestational diabetes mellitus (GDM) are associated with increased birth weight and g..

Re-evaluating Nuchal Translucency Cut-offs in First-Trimester Screening

Fetuses with nuchal translucency measurements as low as 2.0 mm have a higher probability of chromoso..

Predictors of Endometrial Polyp Formation in Asymptomatic Postmenopausal Patients

One-third of asymptomatic, postmenopausal women who underwent hysterectomy for uterovaginal prolapse..

Incidental Findings on Abdominal CT in Pediatric Blunt Trauma: A Prevalence Study

Approximately 40% of children who undergo CT scans following blunt abdominal trauma have incidental ..

Identifying Childhood Predictors of Adult Cardiovascular Morbidity and Mortality

Risk factors for atherosclerotic cardiovascular disease (ASCVD) in adolescence such as hypertension,..

Survey Reveals Key Gaps in Parental Awareness of Atopic Dermatitis in Indian Children

A nationwide survey of 1,003 Indian parents has highlighted significant gaps in awareness and preven..

Neonatal Paenibacillusthiaminolyticus Infection: A Rare Case of Sepsis and Meningoencephalitis

Introduction:The Paenibacillus genus comprises saprophytic, gram-variable, facultatively anaerobic o..

Please login to comment on this article

hbc-baby-lotion
Obesity and overweight ad
Related FAQs

Clinical Indicators and Treatment Preferences in A..
Favorable Lifestyle Behaviors Can Aid in Reversing..
Real-world utilization pattern of dydrogesteronein..
Effects of Low Estrogens: Vaginal Atrophy..
Omental Herniation: A Complication of Drain Site -..
Atonic Postpartum Hemorrhage: Risk factors..
Multifetal Gestations - An ACOG Practice Bulletin..
Retained Placenta and Postpartum Hemorrhage..
Declining Menarcheal Age among Indian Women: Emerg..
Colloidal Nano silver gel for treating bacterial v..
Logo

Medtalks is India's fastest growing Healthcare Learning and Patient Education Platform designed and developed to help doctors and other medical professionals to cater educational and training needs and to discover, discuss and learn the latest and best practices across 100+ medical specialties. Also find India Healthcare Latest Health News & Updates on the India Healthcare at Medtalks

Quick Links

Useful Links

Medbytes FAQ
About Us
Medtalks TV
Contact Us
Webinars
Privacy Policy
CMEs
Terms And Conditions
Conferences

Connect With Us