RESUMO
Granulosa tumors are rare ovarian tumors they belong to sex-cord and stromal tumor family. They are the most common type of malignant stromal tumor and have a good prognosis. There are two types: the adult type (AGCTs), which occurs most frequently between the ages of 40 and 70, and the juvenile type (JGCTs), which is uncommon. Juvenile granulosa tumors tend to involve a single ovary and occur mainly in people who are younger than 30 years. Metastatic spread is rare and, if present, is usually limited to the peritoneal cavity. We report a case of ovarian juvenile granulosa cell tumor extending to the jejunum and peritoneum in an 18-year-old female patient received in our institution.
RESUMO
We report 7 cases of laparoscopic management of ectopic pregnancy but also the benefits and limitations of laparoscopic surgery in rural areas. This was a series of cases of ectopic pregnancy managed with laparoscopic surgery at the maternity ward of Amath Dansokho regional hospital of Kedougou from January 01 2023 to October 31 2023. We recorded 7 cases of ectopic pregnancy managed by laparoscopy. In 5 patients, it was an ectopic pregnancy complicated with hemoperitonea. The pregnancy was ampullary in most cases and cornual in one patient. The procedure consisted of a total salpingectomy in all 6 patients and a salpingotomy in one patient who had a history of total salpingectomy on the contralateral tube. The average duration of the operation was 45 minutes. Laparoscopic surgery is the gold standard for surgical treatment of ectopic pregnancy. It results in lower morbidity, less impact on reproductive health and a quicker return to normal activity. Through these advantages, it is well adapted in our environment, where the average distance to a health facility is 37 to 42 km.