La grossesse ovarienne: un challenge échographique

Jenayah, Amel Achour; Abdallah, Mohamed Waheb

doi:10.11604/pamj.2019.33.196.14354

Cited by 4 publications

(2 citation statements)

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“…Not surprisingly women in shock had more adnexectomies (P<0.0001) In 2 women a hysterectomy was performed (1.8%), one with a gestation of 44 weeks with the placenta involving the uterus (37), and one in a 45 years old lady (38). Follow-up after surgery was uneventful in all except in 1 woman in whom medical treatment was given because an HCG of 2134 IU/ml suggested residual trophoblastic tissue (39).…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Almahloul¹,

Amro²,

Nagshabandi³

et al. 2022

Preprint

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Objective Ovarian pregnancy is a rare but well-known pathology. However, pathophysiology, diagnosis and treatment are not clearly established. Data sources. All case reports published in Pubmed from Nov 2011 till Nov 2022. Study eligibility criteria. A systematic review and 2 case reports of ovarian pregnancy Study appraisal and synthesis methods. Not applicable Results Ovarian pregnancies occur in 8% of women without or blocked oviducts and in 23% on the other side than the corpus luteum and the symptoms of ovarian pregnancies are not specific. Therefore ovarian pregnancy has to be suspected in all women with abdominal bleeding. As for extrauterine pregnancies, the presence of an intrauterine pregnancy does not rule out an ovarian pregnancy. Surgical excision is the preferred treatment. Important is that in women with both an intra-uterine and an ovarian pregnancy, care should be taken not to damage the corpus luteum. Conclusions Ovarian pregnancies can occur in women with blocked tubes, on the other side of the corpus luteum, in the presence of an intrauterine pregnancy, and even when pregnancy tests or tranvaginal ultrasonography are negative. The diagnosis being difficult to exclude, a laparoscopy is indicated in all women with intra-abdominal bleeding, keeping in mind that an intra-uterine pregnancy cannot be exluded and that a corpus luteum need to be respected.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Almahloul¹,

Amro²,

Nagshabandi³

et al. 2022

Preprint

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show abstract

“…Ovarian pregnancies occur in approximately 0.5-3.2% of ectopic pregnancies. Based on the literature, its incidence ranges from 1 in 7000 to 1 in 40,000 pregnancies [5][6][7][8]. The first case of an ovarian pregnancy was described by Dr. Saint Monnissey in the 17 th century [9].…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of a case report of a left ovarian ectopic pregnancy after the former tubal

Wrona¹,

Aleksandrovych

Gil

et al. 2023

Folia Medica Cracoviensia

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Up to 2% of pregnancies may be extrauterine. Despite reproductive problems, they might increase the risk of serious complications. We present a case report of a 31-year-old woman with two extrauterine pregnancies -tubal and ovarian, which occurred at the same side with little time difference. In addition, we aimed to examine possible reasons underlying this rare pathology. Thus, surgically removed tissue specimens were morphologically assessed and further compared with specimens from healthy control patients. Telocytes were analysed in detail due to their pivotal role in the female reproductive system. Our study had observational character and obvious limitations typical for a clinical case. Yet, such a clinical case of two ectopic pregnancies has not been previously reported in the literature.

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Clinical analysis of women with ovarian pregnancy: a retrospective case–control study

Liu

Yang

et al. 2022

BMC Pregnancy Childbirth

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Background To address the clinical features and potential risk factors of ovarian pregnancy (OP). Methods In this retrospective case–control study performed in West China Second University Hospital from March 17, 2005 to December 8, 2018, 146 OP patients were selected as a case group, 292 patients with tubal pregnancy (TP) and 292 women with intrauterine pregnancy (IUP) were matched as controls at a ratio of 1:2:2. Results When compared with TP patients, OP patients tend to have worse clinical complications (hemorrhagic shock (7.41% vs 2.89%), rupture of pregnancy sac (54.07% vs 37.78%), hemoperitoneum (363.1 ± 35.46 ml vs 239.3 ± 27.61 ml) and increased need for emergency laparotomy (9.60% vs 3.97%) at an early gestational age. Assisted reproductive technology (ART) (adjusted OR1 2.08, 95%CI 1.04 to 4.18; adjusted OR2 2.59, 95%CI 1.25 to 5.37) and intrauterine contraceptive device (IUD) use (adjusted OR1 2.19, 95%CI 1.10 to 4.36; adjusted OR2 2.77, 95%CI 1.74 to 5.71) may be risk factors for ovarian ectopic pregnancy as compared to the control groups of TP and IUP patients. Conclusions OP patients tend to have more severe clinical complications and this study has identified ART and IUD use as potential risk factors for OP. Results of this study may contribute to improve the understanding of OP and promote early surgical intervention.

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La grossesse ovarienne: un challenge échographique

Cited by 4 publications

References 0 publications

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Ovarian Pregnancy: A Systematic Review and 2 Case Reports

Retrospective analysis of a case report of a left ovarian ectopic pregnancy after the former tubal

Clinical analysis of women with ovarian pregnancy: a retrospective case–control study

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