Ranaivoson Haingo Voahangy Rabetafika, Ranaivomanana Volahasina Françine, Nomenjanahary Lalaina, Andriamampionona Tsitohery Francine, Randrianjafisamindrakotroka Nantenaina Soa
UPFR Anatomie et Cytologie pathologiques du CHU/JRA, Antananarivo, Madagascar.
UPFR Anatomie et Cytologie pathologiques du CHU Anosiala, Madagascar.
Pan Afr Med J. 2016 Nov 2;25:128. doi: 10.11604/pamj.2016.25.128.10834. eCollection 2016.
Ovarian pregnancy is a rare event among women with ectopic pregnancy in whom the ovary is the site of implantation. Its diagnosis requires a well codified approach. The peculiarities of the determining factors, of the histopathological and evolutionary features typical of ovarian pregnancies led us to focus on this form of ectopic pregnancy. We report 3 cases of ovarian pregnancy diagnosed in our Department. The three women were between 30 and 42 years, at 13 to 37 weeks of amenorrhea. All women had abdominal pain of varying intensity associated with shock. Anatomopathological examination of the right annex, normal site of implantation of ovarian pregnancies, confirmed the diagnosis. All women had juxtaposition ovarian cortical pregnancy. Ovarian pregnancy is a rare event among women with ectopic pregnancy, having specific peculiarities. Its diagnosis is difficult and is based on preoperative findings. The identification of the ovarian implantation on histopathological examination is ideal for confirming the diagnosis. Currently, it is assumed that ovarian pregnancy is the form of ectopic pregnancy which can develop to term or even result in a live birth.
卵巢妊娠在异位妊娠女性中是一种罕见情况,即妊娠着床于卵巢。其诊断需要一种规范的方法。卵巢妊娠的决定因素、组织病理学及演变特征的特殊性促使我们关注这种异位妊娠形式。我们报告了在本科室诊断出的3例卵巢妊娠病例。这3名女性年龄在30至42岁之间,停经13至37周。所有女性均有不同程度的腹痛并伴有休克。对卵巢妊娠正常着床部位右侧附件进行的解剖病理学检查确诊了病情。所有女性均为卵巢皮质并列妊娠。卵巢妊娠在异位妊娠女性中是罕见情况,具有特定的特殊性。其诊断困难,基于术前检查结果。组织病理学检查中对卵巢着床的识别是确诊的理想方法。目前认为,卵巢妊娠是异位妊娠的一种形式,有可能足月分娩甚至产下活婴。