Gravidez ectópica ovariana íntegra: relato de caso de difícil diagnóstico

Introduction: Ectopic Pregnancy (EPGE) is characterized by the implantation of the fertilized egg outside the endometrial cavity, mainly in the uterine tube (95% of cases). When this implantation occurs in the ovary, an Ovarian Pregnancy (OPGO) occurs, representing 0.5% to 1% of all EPsGE. Diagnosis of GOOP diagnosis is challenging, as the accuracy of recognition by clinical exam or imaging is insufficiently documented. Tools such as transvaginal ultrasound and anatomical and histopathological examinations are essential for recognizing GEEP. Objective: To describe the case of a patient with a correct diagnosis of complete GOintact OP and discuss, in light of the literature, diagnostic and treatment methods in light of the current literature. Case Report: Female patient, 37 years old, primigravida in which the endovaginal ultrasound showed an empty uterus and gestational sac in an intact right ovary. Discussion: The patient underwent laparoscopic treatment and the GO OP criteria were met. However, no pathological findings were considered a possibility of tubal GEEP. Some reports in the literature also lacked confirmation of the pathology, reaffirming the diagnostic complexity. Conclusion: The difficulty in diagnosing GO OP is clear, as the tools used led to divergent conclusions, highlighting the importance of a careful and multidisciplinary approach in these situations.