Zoukar Olfa, Zouari Ines, Jemaa Yosra, Aissa Rahma, Mnejja Amina, Bayar Amel, Naguez Dalel, Toumi Dhekra, Ghannouchi Mossaab, Haddad Anis
Centre de Maternité et Néonatologie, Centre Hospitalier Universitaire Fattouma Bourguiba de Monastir, Monastir, Tunisie.
Service de Gynécologie Obstétrique, Hôpital Régional Hadj Ali Soua, Ksar Hellal, Tunisie.
Pan Afr Med J. 2021 Dec 7;40:208. doi: 10.11604/pamj.2021.40.208.32011. eCollection 2021.
Ovarian pregnancy is a rare entity among ectopic pregnancies. Its diagnosis and management are not always easy. It is a particular pathology, the clinician is confronted with a poor clinical semiology and a difficult ultrasound diagnosis. The surgical criteria remain difficult to prove. We have compiled a case of ovarian pregnancy. The patient consulted our emergency room for pelvic pain, metrorrhagia and amenorrhea of nine weeks. The preoperative diagnosis was evoked by ultrasound which showed a right latero uterine image of 7*8cm at the expense of the right ovary. An emergency laparotomy was performed. Surgical treatment was radical after the failure of conservative treatment. Ovarian pregnancy is a rare entity of ectopic pregnancy which presents certain semiological peculiarities. Its diagnosis is difficult and is based on intraoperative findings. Its therapeutic management remains for the treatment of ectopic pregnancies, despite the progress of medical and surgical treatment.
卵巢妊娠是异位妊娠中一种罕见的情况。其诊断和处理并非总是容易的。它是一种特殊的病理情况，临床医生面临着不良的临床症状学表现以及困难的超声诊断。手术标准仍难以证实。我们整理了一例卵巢妊娠病例。该患者因盆腔疼痛、子宫出血和停经9周前来我们的急诊室就诊。术前通过超声检查引发了诊断怀疑，超声显示右侧子宫旁有一个7×8厘米的图像，累及右侧卵巢。遂进行了急诊剖腹手术。保守治疗失败后进行了根治性手术治疗。卵巢妊娠是异位妊娠中一种罕见的情况，具有某些症状学上的特殊性。其诊断困难，基于术中发现。尽管医学和手术治疗取得了进展，但对于异位妊娠的治疗管理而言，其治疗方法仍然如此。
