A case of ovarian ectopic pregnancy is described which satisfies all of Spiegelberg's criteria and in the discussion the reasons for the apparent association with an intrauterine contraceptive device are examined.
PIP: A case is reported of ovarian pregnancy in a woman wearing a Copper 7 IUD for 2 years. She has 2 weeks of intermittent vaginal bleeding, followed by acute onset of severe lower abdominal pain, abdominal rigidity, rebound tenderness, and shock. Laparoscopy revealed blood and clots in the pelvis. On laparotomy, the right ovary was bleeding from a lesion later shown to be the gestational sac. The right fallopian tube was normal. The 4 criteria of Speigelberg for ovarian pregnancy was satisfied: normal fallopian tube on the affected side; gestation sac in the normal position in the ovary; sac connected to the uterus by the ovarian ligament; and ovarian tissue histologically demonstrated in the wall of the sac.