grossesse ovarienne: Le point en 2003. A propos de 4 cas et revue de la litterature

ABSTRACT

Ovarian pregnancy remains a rare form of extraciterine pregnancy. It's incidence is estimated all to 6% of ectopic pregnancies. We report 4 cases of ovarian pregnancies. diagnosed at the obstetric and gynecology department or NabeuI Hospital [Tunisia] during a 4 year period. An update on ovarian pregnancy based on these 4 cases and a literature review is provided. In contrast to tubal pregnancy, ovarian pregnancy occurs as a single event in an otherwise healthy woman. There is no specific clinical, laboratory test or ultra sonographic signs for differentiating ovarian from tubal pregnancy. At laparoscopy, it frequently suggest haemorrhage from the corpus luteum or a rupture of ovarian cyst. Histology is the only means of establishing the diagnoses. Ovarian pregnancy rupture is often.more dangerous than tubal pregnancy, but conservative treatment is often possible. Recurrency is exceptional and future fertility usually is unmodified