Montanino G, Marcoccia S, Montanino Oliva M, Schimberni M
II Istituto di Clinica Ostetrica e Ginecologica dell'Università degli Studi di Roma La Sapienza.
Minerva Ginecol. 1990 Jul-Aug;42(7-8):321-4.
A rare case of primary ovarian pregnancy is reported. The multiple diagnostic problems and the unclear symptomatology delayed the time of the definitive diagnosis more than seventy five days. All the histological criteria for the classification of an ovarian pregnancy are faced in this case. The finding of a well conserved gestational sac and embryo inside the ovarian tissue makes this case even more rare and interesting. When there is a suspicion of ectopic or ovarian pregnancy the Authors strongly suggest an early laparoscopy to make a reliable and precocious diagnosis, avoid the risk of the hemoperitoneum, perform a conservative therapy and preserve the ovarian function with the patient's reproductive potential.
本文报道了一例罕见的原发性卵巢妊娠病例。多种诊断问题及不明确的症状使确诊时间推迟了七十五天以上。该病例涵盖了卵巢妊娠分类的所有组织学标准。在卵巢组织内发现保存完好的妊娠囊和胚胎,使该病例更加罕见且有趣。当怀疑有异位妊娠或卵巢妊娠时,作者强烈建议早期进行腹腔镜检查,以做出可靠且早熟的诊断,避免腹腔内出血的风险,实施保守治疗并保留卵巢功能及患者的生殖潜能。