Ebrahimi Mahbod, Akbari Asbagh Firoozeh
Int J Fertil Steril. 2014 Apr;8(1):85-90. Epub 2014 Mar 9.
Ovarian pregnancy is a rare form of extra uterine pregnancy. Serous cyst adenoma is a benign variant of epithelial cell tumors of ovary. The coexistence of a cyst adenoma with an ovarian pregnancy in the same ovary is extremely rare. Some studies suggested that infertility or ovulation-inducing drugs can be involved in increased risk of ovarian tumors and ovarian pregnancies. A 28-year-old infertile woman presented with a ruptured ovarian pregnancy following ovulation induction with metformin. She had a concurrent benign serous cyst adenoma in the same ovary. Resection of both ovarian pregnancy and tumoral mass were performed. The ovary was preserved. Removal of gestational tissue and preservation of the involved ovary are the best options for management of ovarian pregnancy in young patient. Although there is an association between infertility/ovulation inducting medications and ovarian gestation, their connections with serous cyst adenoma are undetermined.
卵巢妊娠是一种罕见的宫外妊娠形式。浆液性囊腺瘤是卵巢上皮细胞瘤的一种良性变体。同一卵巢中囊腺瘤与卵巢妊娠并存极为罕见。一些研究表明，不孕或促排卵药物可能会增加卵巢肿瘤和卵巢妊娠的风险。一名28岁的不孕女性在使用二甲双胍诱导排卵后出现了破裂的卵巢妊娠。她同一卵巢中同时存在一个良性浆液性囊腺瘤。对卵巢妊娠和肿瘤块都进行了切除。卵巢得以保留。对于年轻患者的卵巢妊娠管理，去除妊娠组织并保留受累卵巢是最佳选择。虽然不孕/促排卵药物与卵巢妊娠之间存在关联，但它们与浆液性囊腺瘤的联系尚不确定。
