Cissé C T, Mendes V, Diouf F, Diouf A, Moreau J C, Diadhiou F, Ndiaye P D
Clinique Gynécologique et Obstétricale du CHU de Dakar.
Dakar Med. 1994;39(1):69-75.
The authors report 2 cases of ovarian pregnancy at Gynecological Obstetric Clinic of University Teaching Hospital in Dakar out of 210 ectopic pregnancy registered in a 28 month period (March 91 to June 93). These are the fourth and fifth cases operated on in Dakar (the 3 first cases are reported during the last 10 years). In light of the 2 cases using the data of the literature, the authors try to find out the particularities of the scarce affection which etiopathogeny is still unclear even if the symptomatology is often similar to a tubal pregnancy. The diagnosis is often evoked during laparatomies but its confirmation is based exclusively on the anatomopathological test. The frequent existence of intra ovarian hematoma and zones of necrosis make people practise annexectomy which should be avoid as much as possible.
作者报告了在达喀尔大学教学医院妇产科诊所发生的2例卵巢妊娠病例,这是在28个月期间(1991年3月至1993年6月)登记的210例异位妊娠中的病例。这是达喀尔实施手术的第四和第五例病例(前三例病例是过去10年中报告的)。根据这2例病例并结合文献数据,作者试图找出这种罕见病症的特殊性,其病因仍不清楚,尽管症状通常与输卵管妊娠相似。诊断通常在剖腹手术中被提及,但确诊完全基于解剖病理学检查。卵巢内血肿和坏死区域的频繁存在使得人们常实施附件切除术,而这应尽可能避免。