ECTOPIC PREGNANCY AND ITS CLINICAL COURSE: CASE REPORT

• DOI: https://doi.org/10.22533/at.ed.1595162524036

• Palavras-chave: Abdominal pain; Pregnancy Complications; Ultrasonography; Pregnancy, Ovarian; Pregnancy, Ectopic;

• Keywords: Abdominal pain; Pregnancy Complications; Ultrasonography; Pregnancy, Ovarian; Pregnancy, Ectopic;

• Abstract:

  Ectopic pregnancy is characterized by implantation of the blastocyst outside the endometrial cavity. Among the variants, ovarian pregnancy accounts for less than 3% of cases, challenging both diagnosis and clinical management (1). Early recognition is essential, as its evolution often results in rupture (2). Differentiation from hemorrhagic cysts and adnexal masses requires detailed examinations and correlation with β-hCG dosage. Treatment can be medicated or surgical, depending on factors such as embryonic viability. This report describes the case of a patient who presented with heavy vaginal bleeding associated with abdominal pain. A transvaginal ultrasound showed an ectopic gestational sac in the left ovary. Management with methotrexate was chosen, but the persistence of increased hormone levels and subsequent visualization of an embryo with cardiac activity made it impossible to continue. In view of the therapeutic failure, laparotomy was indicated. This case highlights the need for close monitoring and reinforces the importance of early diagnosis of ectopic pregnancy for appropriate management.