Embarazo ectópico ovárico

Ectopic pregnancy is defined as a gestation out of the endometrial cavity. The most frecuent implantation is the ampular portion of the tube, next to abdominal, ovarian and cervical location. The incidence of ectopic pregnancy is increasing in the last years, but the frecuency of ovarian pregnancies has remained stable. The clinical diagnosis is based in sonography and serum concentrations of β-HCG. The preoperative diagnosis of ovarian pregnancy is difficult. The treatment is ovarian wedge resection by laparoscopy or medical therapy with methotrexate. We report the management of three patients in our hospital. The clinical symptoms were abdominal pain and menstrual irregularities; the diagnosis was confirmed by histopathological study and the treatment was ovarian wedge resection by laparoscopy.