Primary ovarian pregnancy is one of the rarest types of ectopic pregnancies. Patients may complain of abdominal pain and bleeding per vaginum. Likely risk factors are intrauterine devices and assisted reproductive technology (ART). A pre-operative 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. Here, we report three cases of primary ovarian pregnancies presenting with acute abdominal pain. Transabdominal ultrasonography could not be done in one, while in the second TVS could not particularly pin-point the site of the ectopic pregnancy. Both cases were confirmed by histopathological examinations.

Keywords: Primary; Ovarian; Pregnancy.