ABSTRACT Primary ovarian pregnancy is one of the rarest forms of ectopic pregnancy having an incidence of 1/7000-1/40,000 in live births and 0.5-3% of all ectopic gestations. In literature, an increasing number of ovarian pregnancies associated with the use of IUDs have been reported. Copper T and Levonorgestrel containing IUD are modern generations of IUD with ectopic pregnancy rates of 0.2 per 1000 woman-year. Here, we would like to report a case of a ruptured ovarian ectopic pregnancy in a woman who had recently removed an intrauterine device 2 months back. This report aims to highlight that use of IUD in the past may also be a significant risk factor for ovarian ectopic pregnancy.
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