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Review
. 2021 Dec 7:40:208.
doi: 10.11604/pamj.2021.40.208.32011. eCollection 2021.

[Ovarian pregnancy case study and literature review]

[Article in French]
Olfa Zoukar  1 , Ines Zouari  1 , Yosra Jemaa  2 , Rahma Aissa  1 , Amina Mnejja  1 , Amel Bayar  2 , Dalel Naguez  2 , Dhekra Toumi  3 , Mossaab Ghannouchi  4 , Anis Haddad  1
Affiliations
Review

[Ovarian pregnancy case study and literature review]

[Article in French]
Olfa Zoukar et al. Pan Afr Med J. .

Abstract
in English, French

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.

La grossesse ovarienne représente une entité rare parmi les grossesses ectopiques. Son diagnostic et sa prise en charge ne sont pas toujours aisés. C´est une pathologie particulière, le clinicien est confronté à une sémiologie clinique pauvre et à un diagnostic échographique difficile. Les critères chirurgicaux restent difficiles à prouver. Nous avons colligé un cas de grossesse ovarienne. La patiente a consulté nos urgences pour des douleurs pelviennes, métrorragies et une aménorrhée de 9 semaines d’aménorrhée (SA). Le diagnostic préopératoire a été évoqué à l´échographie qui a montré une image latéro utérine droite de 7*8cm au dépend de l’ovaire droit. Une laparotomie a été réalisée en urgence. Le traitement chirurgical a été radical après l´échec du traitement conservateur. La grossesse ovarienne est une entité rare de la grossesse extra-utérine qui présente certaines particularités sémiologiques. Son diagnostic est difficile et se base sur des constatations per-opératoires. Sa prise en charge thérapeutique reste pour le traitement des grossesses extra-utérines, malgré le progrès de traitement médical, chirurgicale.

Keywords: Ovarian pregnancy; case report; rare form of ectopic pregnancy; surgical treatment; ultrasound.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'intérêt.

Figures

Figure 1
Figure 1
grossesse extra utérine ovarienne en per opératoire
Figure 2
Figure 2
ovairectomie droite
See this image and copyright information in PMC

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References

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