Rupture of Ovarian Pregnancy in a Woman with Low Beta-hCG Le
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Introduction
Ovarian pregnancy is one of the rarest variants of ectopic implantation, and incidence is estimated to be 3% of diagnosed ectopic pregnancies. The diagnosis of ovarian pregnancy is difficult. We report a case of ruptured ovarian pregnancy misdiagnosed as tubal pregnancy, which caused significant hemoperitoneum and was successfully treated by conservative laparoscopy.

Case Presentation
A 33-year-old nulliparous woman presented to the gynecologic emergency room of our Department complaining of light vaginal bleeding and bilateral lower quadrants abdominal pain without signs and symptoms of circulatory instability. She reported a history of 5 weeks of amenorrhea, and her previous menstrual cycles were regular. She had no history of sexually transmitted disease or pelvic inflammatory disease, nor previous gynecological surgery. Physical examination revealed initial blood pressure 110/70?mmHg, pulse 80?beats/min, and body temperature 37.5°C. On speculum examination there was a small amount of blood in the vagina but the cervical os was closed....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502786/
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