Obstruction of the Small Intestine by Corpus Luteum Cyst

Wilder, Joseph R.

doi:10.1001/jama.1953.02940090032007c

“…Ovarian remnants occur after a portion of ovarian tissue is left intact following oophorectomy, particularly during a difficult oophorectomy. Hormonally active remnants manifest with variable presentations including pelvic pain, flank pain, dyspareunia, hydronephrosis due to ureteral compression, bowel obstruction, and a palpable, tender pelvic mass ( 2,3,5 ) . Symptoms commonly present within 5 years of extirpative surgery ( 12 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Potential risk factors predisposing the patient to unintentional residual ovarian tissue are endometriosis, adhesions, fibrosis, ovarian or uterine masses, inflammatory bowel disease, pelvic inflammatory disease, and multiple abdominal or pelvic surgeries. Shemwell and Weed ( 1 ) were the first to demonstrate the ovarian remnant syndrome in vivo in 1970, although several previous case reports suggested complications associated with the retained ovary following bilateral salpingo‐oophorectomy (BSO) ( 2,3 ) . Their model involved cats following oophorectomy, and the implantation of ovarian cortical tissue into the peritoneum of the lateral abdomen.…”

mentioning

confidence: 99%

Mucinous adenocarcinoma in an ovarian remnant

Dereska¹,

Cornella²,

Hibner³

et al. 2004

Int J Gynecol Cancer

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The ovarian remnant syndrome, a complication of bilateral salpingo-oophorectomy, is progressively receiving more attention in the gynecological surgery literature. The syndrome is manifested by pelvic pain and a palpable or sonographic finding of a pelvic mass. However, in rare cases, patients can present with large masses and radiographic suggestion of malignancy. We present the case of a 76-year-old white female, 23 months after bilateral salpino-oophorectomy at the same institution, complaining of 3.5 months of right flank and abdominal pain. Clinical and radiological evidence of a right ovarian remnant was discovered. Subsequent laparoscopic resection was consistent with a well-encapsulated mucinous adenocarcinoma in a right ovarian remnant. Curiously, this patient had no history of endometriosis, dense pelvic adhesions, pelvic inflammatory disease, or difficulty encountered during the original hysterectomy. This is the seventh published case report in the international literature about carcinoma developing in an ovarian remnant. However, this case differs in that the patient had no preexisting gynecologic conditions at the time of hysterectomy and bilateral salpingo-oophorectomy to account for residual ovarian tissue. Additionally, the oophorectomy was performed vaginally, in contrast to multiple previous case reports.

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“…Other structures which will be encountered in the dissection include the vagina, large and small intestines, rectum, obturator nerve, and hypogastric vessels. Careful palpation of these structures is paramount, as remnants have even caused partial intestinal obstruction 23 …”

Section: Methodsmentioning

confidence: 99%

“…The diagnosis is made when corrective surgery with complete removal of the ovarian remnant has been performed and histological confirmation of the ovarian tissue has been obtained. Hormonally active remnants contribute to recurrent pelvic pain, endometriosis, painful cyst formation and ureteral 4 or bowel obstruction 5 . Symptoms usually present within 5 years 6 from extirpative surgery.…”

Section: Clinical Featuresmentioning

confidence: 99%

Ovarian remnant syndrome

Richlin

¹

,

Rock

²

2001

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Objective To review different diagnostic and surgical procedures for ovarian remnant syndrome and suggest that complete primary resection is the only method to avoid recurrence. Data sources Sources include original articles and reviews on various ovarian remnant surgical techniques, on comparisons of laparotomy with laparoscopy and on the employment of possible medical methods for treatment, and reviews of methods and techniques for diagnosing ovarian remnant syndrome. The technical sources dated from 1953 to the present. Methods of study selection Studies of methods and follow up of ovarian remnant techniques currently used. Review articles including surgical and medical techniques with long‐term outcomes and patient selection criteria were utilized to formulate a strategy for appropriate selection of ovarian remnant removal. Data extraction and synthesis The methods reviewed include clinically applied surgical and medical techniques. Articles including surgical and nonsurgical treatment for ‘remnant removal’ were utilized with a review of laparotomy and laparoscopy data. Conclusions Complete excision of ovarian remnants via exploratory laparotomy affords patients the best option for avoiding future corrective surgery for pelvic pain from persistent ovarian remnants.

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“…Potential risk factors predisposing the patient to unintentional residual ovarian tissue are endometriosis, adhesions, fibrosis, ovarian or uterine masses, inflammatory bowel disease, pelvic inflammatory disease, and multiple abdominal or pelvic surgeries. Shemwell and Weed (1) were the first to demonstrate the ovarian remnant syndrome in vivo in 1970, although several previous case reports suggested complications associated with the retained ovary following bilateral salpingo-oophorectomy (BSO) (2,3) . Their model involved cats following oophorectomy, and the implantation of ovarian cortical tissue into the peritoneum of the lateral abdomen.…”

mentioning

confidence: 99%

Mucinous adenocarcinoma in an ovarian remnant

Dereska

¹

,

Cornella

²

,

Hibner

³

et al. 2004

Int J Gynecol Cancer

4

0

View full text Add to dashboard Cite

The ovarian remnant syndrome, a complication of bilateral salpingo-oophorectomy, is progressively receiving more attention in the gynecological surgery literature. The syndrome is manifested by pelvic pain and a palpable or sonographic finding of a pelvic mass. However, in rare cases, patients can present with large masses and radiographic suggestion of malignancy. We present the case of a 76-year-old white female, 23 months after bilateral salpino-oophorectomy at the same institution, complaining of 3.5 months of right flank and abdominal pain. Clinical and radiological evidence of a right ovarian remnant was discovered. Subsequent laparoscopic resection was consistent with a well-encapsulated mucinous adenocarcinoma in a right ovarian remnant. Curiously, this patient had no history of endometriosis, dense pelvic adhesions, pelvic inflammatory disease, or difficulty encountered during the original hysterectomy. This is the seventh published case report in the international literature about carcinoma developing in an ovarian remnant. However, this case differs in that the patient had no preexisting gynecologic conditions at the time of hysterectomy and bilateral salpingo-oophorectomy to account for residual ovarian tissue. Additionally, the oophorectomy was performed vaginally, in contrast to multiple previous case reports.

show abstract

Obstruction of the Small Intestine by Corpus Luteum Cyst

Cited by 11 publications

References 0 publications

Mucinous adenocarcinoma in an ovarian remnant

Mucinous adenocarcinoma in an ovarian remnant

Ovarian remnant syndrome

Mucinous adenocarcinoma in an ovarian remnant

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