OVARIAN PREGNANCY, ABOUT THREE CASES.

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Published Dec 8, 2009
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Vol. 87 No. 11 (2009): Issue Nov 2009

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Dalenda Chelli
Chaima Gatri
Fethia Boudaya
Karim Guelmami
Béchir Zouaoui
Ezzeddine Sfar
Mohamed Bedis Chennoufi
Héla Chelli

Abstract

Ovarian pregnancy is a rare type of ectopic pregnancy. Its diagnosis and management are often difficult.
Objective: To highlight specific diagnostic and therapeutic properties of ovarian pregnancy.
Materials and Methods: Retrospective Study over a period of 4 years. We observed the patients presenting ovarian pregnancies. Diagnosis was evocated in time of surgery and confirmed by histological data.
Results: We observed three patients presenting ovarian pregnancies. All our patients had an abdominal ache. Diagnosis was made by ultrasound scan examination in one case. One patient had a laparotomy as a matter of urgency; the two others had a laparoscopy. All the patients were managed conservatively. The diagnosis of
ovarian pregnancies was evocated in time of surgery and confirmed by the histological data.
Conclusion: the ovary is a rare location for extra-uterine pregnancy. This type of ectopic pregnancy has some clinical properties. The diagnosis is intricate and based on per operatory observations. The management is in spite of medicines improvement, based on surgery.

Keywords:

ovarian pregnancy, rare ectopic pregnancy, ultrasound, surgery, conservative management

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