Background: Primary ovarian ectopic pregnancies are rare occurrences accounting for approximately 3% of all ectopic pregnancies. This kind of pregnancy can be a life-threatening emergency if it is not recognized early. Case Report: This article describes an ovarian ectopic pregnancy occurring after clomiphene citrate and intrauterine insemination that initially failed medical management and was subsequently treated with laparoscopic resection of a trophoblastic mass. Results: After resection of the mass, the patient had an uneventful recovery. Conclusions: Ovarian ectopic pregnancies are extremely rare but must be considered, along with tubal ectopic pregnancies, in patients undergoing assisted reproductive care with an inappropriately rising ß-hCG or an adnexal mass noted on pelvic ultrasonography, especially in instances of failed responses to methotrexate. (J GYNECOL SURG 27:267)
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