Fouelifack Florent Ymele, Fouogue Jovanny Tsuala, Fouedjio Jeanne Hortence, Sando Zacharie
Obstetrics and Gynecology Unit of the Yaounde Central Hospital, Cameroon.
Faculty of Medicine and Biomedical Sciences of the University of Yaounde 1, Cameroon.
Pan Afr Med J. 2013 Dec 18;16:143. doi: 10.11604/pamj.2013.16.143.3505. eCollection 2013.
Ovarian pregnancy is very rare and to our knowledge, no case has been reported in Cameroon. We herein report a case at the Yaounde Central Hospital. It is the case of a 29 years old woman who consulted in emergency for left pelvic pain at 9 weeks of pregnancy. The level of beta human chorionic gonadotropin was 96702 milli-international Units/ milliliter and ultrasound revealed an intra-ovarian gestational sac, an empty uterus and no peritoneal effusion. In the absence of facilities for laparoscopy, an emergency laparotomy was done. We found the non ruptured mass inside the left ovary. The left fallopian tube, the uterus and the right adnexae were normal. We did a successful ovarian dissection and resection of gestational sac. Trophoblastic tissue was found at pathology. Similar symptoms should draw attention of practitioners on the plausibility of ovarian pregnancy.
卵巢妊娠非常罕见，据我们所知，喀麦隆尚未有相关病例报道。在此，我们报告雅温得中心医院的一例病例。患者为一名29岁女性，怀孕9周时因左下腹疼痛前来急诊。β-人绒毛膜促性腺激素水平为96702毫国际单位/毫升，超声检查显示卵巢内有妊娠囊，子宫内为空，无腹腔积液。由于缺乏腹腔镜设备，遂进行了急诊剖腹手术。我们发现左侧卵巢内有未破裂的肿块。左侧输卵管、子宫和右侧附件均正常。我们成功地进行了卵巢妊娠囊剥离和切除术。病理检查发现有滋养层组织。类似症状应引起医生对卵巢妊娠可能性的关注。
