TITLE:
Ovarian Pregnancy: A Case Report
AUTHORS:
Hadja Maïmouna Barro Daff, Brahima Donigolo, Aïssatou Mbodji, Khalifa Babacar Mansour Fall, Youssoupha Touré, Moussa Diallo, Abdoul Aziz Diouf, Alassane Diouf
KEYWORDS:
Ectopic Pregnancy, Ovarian Pregnancy, Adnexal Mass
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.11,
November
10,
2021
ABSTRACT: Background: Ovarian pregnancy is a rare entity of ectopic
pregnancy, with a prevalence in the literature estimated between 1/2500 to
1/5000 births. The majority of ovarian pregnancies are diagnosed in the 1st
trimester due to the noisy symptomatology. However, in small proportions, they
may continue into the 2nd or 3rd trimester, making their diagnosis more
difficult. Aim: We report a case of ovarian pregnancy in a 26-year-old
patient, discovered intraoperatively as a large unruptured ovarian mass. Case
report: A 26-year-old woman referred to the maternity ward for management
of fetal death in utero at 31 weeks of amenorrhea associated with overlying
placenta previa. Ultrasound performed in the department, was in favor of an
abdominal pregnancy stopped at 31 SA with a placenta that seemed to adhere to
the posterior wall of the uterus, which was empty. A Laparotomy was performed,
on exploration, a large right ovarian mass was found, the site of the
pregnancy. A right adnexectomy, after adhesiolysis, was performed. The incision
of the operative part revealed a macerated female fetus. The clinical evolution
was favorable. Conclusion: We report on a case of unruptured ovarian
pregnancy, discovered in the 3rd trimester of pregnancy. The ultrasound
diagnosis of an ovarian pregnancy beyond the 2nd trimester remains a challenge,
the management remains surgical.