Metastatic adenocarcinoma of right supraclavicular fossa – delayed presentation of ovarian primary

The management of primary ovarian ectopic gestation is oophorectomy but a more recent conservative approach is laparoscopic ovarian wedge resection (Hage et al. 1994). Local and systemic injections of methotrexate and prostaglandin PGF2a are also used in cases where the patient is haemodynamically stable and diagnosis is established on scan. These latest advances in management are aimed at conserving fertility.