Ovarian maldescent

Trinidad, Carmen; Tardáguila, Francisco; Fernández, Gabriel; Martínez, Concepción; Chávarri, Elena; Rivas, I.

doi:10.1007/s00330-003-2202-3

Cited by 19 publications

(13 citation statements)

References 5 publications

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“…MRI is traditionally thought of as the most sensitive imaging modality for evaluation of Mullerian anomalies. 13 MRI data have therefore been extrapolated to include disorders of gonadal descent from a level above the pelvic brim to a level beyond the inguinal canal.…”

Section: Diagnosismentioning

confidence: 99%

Undescended Ovaries: A Clinical Review

Dietrich¹,

Hertweck²,

Bond³

2007

Journal of Pediatric and Adolescent Gynecology

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Section: Diagnosismentioning

confidence: 99%

Undescended Ovaries: A Clinical Review

Dietrich¹,

Hertweck²,

Bond³

2007

Journal of Pediatric and Adolescent Gynecology

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“…Owing to the potential of a pelvic mass, enlarged uterus or pregnancy to displace the ovaries, any such case was excluded from this series. Owing to the association between ovarian maldescent and congenital Mü llerian anomalies, these cases were also excluded [21,22]. In addition, owing to the risk of associated genitourinary malformations, plus the complication of skeletal distortion, cases with congenital spine abnormalities were excluded [23].…”

Section: Methodsmentioning

confidence: 99%

More harm than good? The anatomy of misguided shielding of the ovaries

Fawcett¹,

Gómez²,

Barter³

et al. 2012

The British Journal of Radiology

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Objective: Popular gonad shield designs aim to provide coverage of the true pelvis, which is presumed to be the probable location of the ovaries. Shields are frequently placed inaccurately, especially in children, obscuring important orthopaedic landmarks on pelvic radiographs. We aimed to identify the position of the ovaries and asses how this may vary with age and the degree of bladder filling. We aimed to identify the position of the ovaries and asses how this may vary with age and the degree of bladder filling. Methods: Using MRI examinations of the pelvis in women and children, we located 594 ovaries in 306 female patients aged from birth to 59 years. Results: This study provides new evidence that bladder filling affects ovary position. A lower than expected number of patients had both ovaries within the pelvis if the bladder contained more than a moderate volume of urine. Bladder emptying should be achieved wherever practical if a shield is used. In children under the age of 7 years, more than half (19/37) had at least one ovary outside the true pelvis. There was a significant association between age and ovary position, with the percentage of patients with one or both ovaries outside the true pelvis decreasing with age (x 2 , p,0.0001). Conclusion:The embryological descent of the ovaries into the pelvis would appear to continue after birth, well into childhood. Current popular shield designs are therefore inappropriate for use in young children. Given the high risk of obscuring critical landmarks, coupled with the new evidence that even accurate placement will not necessarily protect the ovaries, the use of pelvic shields in girls should be reconsidered.

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“…Radiologic imaging may help to put diagnosis. There are some cases detected by hysterosalpingography during investigation for infertility or MRI searching for pelvic pain (2,4,5) .…”

Section: Casementioning

confidence: 99%

“…Rarely anomalies of colon or appendix may be seen (18) , so MRI investigation of other systems is advised (2) . In our case there we did not observe any additional systemic anomaly other than elongated tube.…”

Section: J Turk Soc Obstet Gynecol 2013; 10: 272-4mentioning

confidence: 99%