Primary ovarian pregnancy: early diagnosis still a myth

Primary ovarian pregnancy occurs quite rarely accounting for 1 to 3%. And that too usually in young highly fertile multiparous women using intra uterine device and is associated with rupture very early in the gestation. We present a case where a young primigravida presented with abdominal pain and was diagnosed as ectopic pregnancy and was confirmed intra-operatively and histopathologically as primary ovarian pregnancy, managed with partial ovariectomy