Maldevelopment of the vagina is usually combined with aplasia or hypoplasia of the uterus. Objective: To support the clinical peculiarities, imaging and surgical technique of this rare entity. Materials and Methods: This is a retrospective study conducted over 04 years. We collected two cases of vaginal aplasia with functional uterus. The diagnosis was based on clinical data, ultrasound, imaging. Results: Our patients had primary amenorrhea plus chronic, cyclic pelvic pain. The examination found partial vaginal aplasia for the first patient and complete vaginal aplasia for the second patient. Magnetic resonance imaging revealed atresia of the cervix with absence of the upper part of the vagina for the first case, an absence of the vagina for the second case. Both patients had vaginoplasty. The evolution was satisfactory for the first patient and the second evolution was marked by cervicovaginal stenosis, the patient had a hysterectomy. Conclusion: Whatever the surgical technique practiced, vaginoplasty allows in this rare malformation to restore the physical integrity and the sexual function, even if other case resulted in cessation to cervico-vaginal stenosis.
Ovarian pregnancy is a rare entity among ectopic pregnancies. Its diagnosis and management are not always easy. Objective: To support the clinical and therapeutic characteristics of ovarian pregnancy. Materials and Methods: This is a three-year retrospective study. During which we collected cases of ovarian pregnancy. The diagnosis was based on surgical data confirmed by pathological examination. Results: We collected two cases of ovarian pregnancy. our two women were 27 and 30 years old and had 6 to 15 weeks of amenorrhea. All our patients were suffering from abdominal pain of varying intensity. The preoperative diagnosis was discussed on an ultrasound in one case. Two laparotomies were performed in two cases due to shock. Surgical treatment was conservative in two cases. We did not use any medical treatment. Conclusion: Ovarian pregnancy is a rare entity of ectopic pregnancy with semiotic features. Its diagnosis is difficult and is based on intraoperative results. Its therapeutic treatment remains for the treatment of ectopic pregnancies, despite advances in medical treatment, surgery.
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