Background: Pregnancy luteoma is a rare non neoplastic condition of the ovary. It is usually asymptomatic and found incidentally during imaging in pregnancy or during cesarean section. Pregnancy luteoma can also occur alongside ectopic pregnancy.
Case Presentation: We report the case of a 33 year old female presented with 6 weeks of ectopic gestation. The asymptomatic patient on routine USG investigations revealed right ovarian ectopic gestation. Laproscopic excision of the ovarian pregnancy was done. Histopathological examination confirmed ovarian gestation and in addition, the ovarian mass revealed solid aggregates of large cells with abundant eosinophilic cytoplasm; diagnosis of ovarian pregnancy with luteoma was given.
Conclusion: Ovarian pregnancy is rare; although awareness of this condition is important for reducing its associated morbidity and mortality. Also, luteoma must be considered in the differential diagnosis of ovarian masses in ovarian ectopic pregnancies that diagnosis of this entity may avoid unnecessary radical surgery.