Laparoscopic resection of an ovarian pregnancy in a patient using the copper T intrauterine device.

This is a case report of a 40-year-old multiparous woman with a right ovarian pregnancy. The patient has had a copper T intrauterine device for about 6 years. The diagnosis of ovarian pregnancy was based on the improper rise of serum beta-hCG levels, sonographic findings of an empty uterus, and the laparoscopic verification of Spiegelberg's criteria. The treatment was by laparoscopic resection of part of the right ovary with the pregnancy. Pathological examination confirmed the presence of ovarian tissue around the chorionic villi. The relationship between the use of the intrauterine device and ovarian pregnancy is discussed.