The ovarian tissue was seen scattered in the walls of gestational sac thus fulfilling Spiegelberg s and Modified Spiegelberg s criteria.12-14 Section through fallopian tube showed no villi within tubal lumen. Ovarian pregnancy artery forceps indicating the ovarian tissue Babcocks forceps showing the fallopian tube. The possibility of ovarian ectopic pregnancy was initially suggested by Mercerus in 1624. St. Maurice in 1682, first published a case report. Ovarian tissue must be demonstrated in the walls of the sac.
Ovarian pregnancy can be primary or secondary.
Primary ovarian pregnancy can be superficial, extrafollicular, intrafollicular or interstitial. Secondary ovarian pregnancy can be secondary due to tubal ectopic abortion. This is the only case similar to our case that has been found in English literature after a detailed medline search. Our case was unusual and interesting because patient was totally asymptomatic even though she was well in her second trimester. Over dependence on sonography may also misdiagnose the presence of an extrauterine pregnancy .