TITLE:
Mummified Ovarian Pregnancy at the General Reference Hospital of Panzi in Bukavu/DRC: A Case Report
AUTHORS:
De Joseph Kakisingi Mibi, Olivier Nyakio Ngeleza, Ntakwindja Mukanire, Éloge Ilunga Mbaya, Émile Mapatano Shalamba, Sylvie Nabintu Mwambali, Dieudonné Kakusu, Julien Bwama Botalatala, Denis Mukwege Mukengere
KEYWORDS:
Ovarian Pregnancy, Ectopic Pregnancy, Momified, Panzi, Bukavu, DRC
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.2,
February
23,
2023
ABSTRACT: This is a 39-year-old female patient,
commercial occupation, nulliparous, primigravida, 12 weeks of amenorrhea, who
consulted for desire of maternity after 15 years of infertility. The physical
examination showed an abdomen of normal volume, soft and tender in the right
iliac fossa. On vaginal touch, the uterus was of normal volume in an anteverted
anteflexed position, regular surface with palpation at the right adnexa of a
firm mass about 5 cm in diameter, irregular and tender. Free douglas. A
diagnosis of infertility of 15 years was retained. Infertility workup showed a
normal uterus. Right ovary normal volume, left ovary normal volume.
Hysterosalpingography with and without opacification showed signs suggestive of
bilateral hydrosalpinx predominating on the right. There was no obvious uterine
anomaly. The blood biology did not show anything particular. An exploratory
laparoscopy revealed multiple
epiplo-tubero-intestinal adhesions. The right trumpet was dilated and adherent
to an adnexal mass. A large adhesiolysis allowed the release of the right tube,
thus opening the possibility to explore the adnexal mass. The opening of the
mass allowed to individualize bony structures corresponding to the forearm
with the calcified hand, and other less distinct structures. The latter finding
led to the diagnosis of calcified ovarian pregnancy.