Management of an Unruptured Distal Tubal Ectopic Pregnancy with Ovarian Involvement in West Texas via Laparoscopic Salpingo-Oophorectomy: A Case Report

Authors

  • Joey Holzer Texas Tech University Health Sciences Center
  • Gabriella Smalligan Texas Tech University Health Sciences Center
  • Makena Shields Texas Tech University Health Sciences Center
  • Alexis Borden Texas Tech University Health Sciences Center

Keywords:

ovarian ectopic pregnancy, distal tubal ectopic pregnancy, laproscopic, sapling-oophrectomy, gynecologic emergencies

Abstract

Background: Ovarian ectopic pregnancies are rare and account for less than 3% of all ectopic pregnancies. They pose significant diagnostic and management challenges due to their insidious presentation.

Case Presentation: We present the case of a 31-year-old gravida 2, para 0 female with pelvic pain, vaginal bleeding, and a positive pregnancy test at 8 weeks gestation. Transvaginal ultrasound revealed a right distal tubal ectopic pregnancy with ovarian involvement and fetal cardiac activity. The patient underwent successful laparoscopic right salpingo-oophorectomy and chromotubation with complete resolution of symptoms.

Conclusion: This case highlights the importance of early recognition and surgical management of ovarian ectopic pregnancies, as well as the utility of minimally invasive techniques for optimal outcomes.

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Published

03/25/2025

How to Cite

1.
Joey Holzer, Gabriella Smalligan, Makena Shields, Alexis Borden. Management of an Unruptured Distal Tubal Ectopic Pregnancy with Ovarian Involvement in West Texas via Laparoscopic Salpingo-Oophorectomy: A Case Report. WTJOM. 2025;3(1). Accessed April 30, 2026. https://westtexasjom.org/index.php/wtjm/article/view/58

Issue

Section

Surgery Section