Background: Ovarian pregnancy is one of the rarest form of ectopic pregnancy. Patients frequently present with abdominal pain and menstrual irregularities. Intrauterine devices have evolved as probable risk factors. Preoperative diagnosis is challenging but transvaginal sonography may be helpful. A diagnostic delay may lead to rupture, secondary implantation or operative difficulties. Therefore, awareness of this rare condition is important in reducing the associated risks. Case: Here, we report case of primary ovarian pregnancies presenting with acute abdominal pain which was diagnosed as ectopic tubal rupture pregnancy and on operation ovary were salvaged with wedge resection. Results: The patient was discharged after 5 days. On follow-up, it was noted that she conceived after 6 months. Conclusions: Medical conservative treatment is still myth in case of primary ovarian pregnancy as most are misdiagnosed and present as ruptured ectopic pregnancy and more awareness is needed in surgeons and radiologists for early diagnosis. (J GYNECOL SURG 31:98)
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