True ectopic ovary in the right iliac fossa mimicking acute appendicitis and associated with ipsilateral renal agenesis

Kollia, Paraskevi; Kounoudes, Christos; Veloudis, Georgios; Giannakou, Niki; Gourgiotis, Stavros

doi:10.1111/jog.12255

Cited by 9 publications

(12 citation statements)

References 8 publications

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“…have previously published a case of the ectopic right ovary with right renal agenesis and have outlined the related embryological development of kidney and ovary. [ 10 ] Ectopic ovaries have high incidences in females with an absent uterus or unicornuate uterus, with incidences up to 20% and 42%, respectively. [ 11 ] High association has noted between Mullerian anomalies and ectopic ovary in several other studies.…”

Section: Discussionmentioning

confidence: 99%

A case of dorsal agenesis of pancreas associated with unilateral renal agenesis, unicornuate uterus, and ovarian ectopia: A brief review and learning points

Bhandari

Mandal

2020

Indian Journal of Radiology and Imaging

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Dorsal agenesis of the pancreas is a rare entity, with about 100 cases reported. It can be overlooked on ultrasound due to the non visualization of the body and tail of the pancreas. This is due to overlying gas in the stomach, which offers a poor acoustic window and obscures visualization. Renal agenesis and Mullerian duct anomalies are uncommon associations of dorsal agenesis of the pancreas because of the separate embryological origin of the pancreas and genitourinary organs. Here, we present a case of a 17-year-old patient who had dorsal agenesis of the pancreas, associated with unilateral renal agenesis, unicornuate uterus, and ectopic ovary. We describe the anomalies and discuss the radiological differential diagnosis and potential pitfalls. We provide a brief review of the literature with few radiological teaching points and possible genetic implications of the case.

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Section: Discussionmentioning

confidence: 99%

A case of dorsal agenesis of pancreas associated with unilateral renal agenesis, unicornuate uterus, and ovarian ectopia: A brief review and learning points

Bhandari

Mandal

2020

Indian Journal of Radiology and Imaging

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“…The methods by which ectopic ovaries are diagnosed include MRI and surgery; however, surgery is the gold standard (3, 8). MRI can be used to diagnose genital tract and renal system abnormalities (8).…”

Section: Discussionmentioning

confidence: 99%

“…The present case had similar maldevelopments: congenital abnormal development of the ovaries and ectopic kidneys. Ectopic ovaries may lead to menstrual disorders, infertility, or abdominal pain (3). In the present case, because of uterine dysfunction and amenorrhea, an ectopic ovary was not suspected.…”

Section: Discussionmentioning

confidence: 99%

“…Ectopic ovaries can present as primary infertility (13), a hernia or cyst in the inguinal canal (14), acute appendicitis (3), ovarian malignancy (15), a Brenner tumor (16), a Wilms' tumor (17), as well as a GIST. Ectopic ovaries can cause irregular menses and pain (18), and are often accompanied by an abnormal urinary system (11) or a mature teratoma (19).…”

Section: Discussionmentioning

confidence: 99%

“…Ectopic ovaries are rare embryologic abnormalities with an estimated prevalence between 1:29,000 and 1:93,000 gynecologic admissions (1, 2). Because patients are asymptomatic, it is difficult to diagnose ectopic ovaries (3). Gastrointestinal stromal tumors (GISTs) are rare tumors which can arise anywhere within the GI tract (4).…”

Section: Introductionmentioning

confidence: 99%

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A Rare Ectopic Ovary Mimicking Colon Sigmoideum Mesenchymoma Presenting as an Intestinal Mesenchymoma

Wang

2019

Front. Oncol.

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Ectopic ovaries are a rare occurrence. A 33-year-old woman presented to our unit for evaluation of a 2-year history of sporadic abdominal pain that was becoming sharp and frequent. Computed tomography (CT) suggested a gastrointestinal tract mesenchymoma. An abdominal laparotomy was performed and the tumor was excised for pathologic evaluation. A rapid frozen section pathologic examination showed a solitary fibrous tumor (SFT). The final pathology report was an ectopic ovary with corpora lutea bleeding. Ectopic ovaries are benign and the present case is the first report involving an ectopic ovary mimicking a gastrointestinal stromal tumor (GIST). The patient recovered well after surgery. Maldevelopment of the genital tract can lead to ectopic ovaries and surgery is a good management choice. The present case provides a possible differential diagnosis for GISTs.

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Acute Right Lower Quadrant Abdominal Pain

Rellinger

Speck

2017

JAMA Surg

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A previously healthy 4-year-old girl with a history of prematurity (31 weeks' gestational age) presented as a transfer from an outside facility with abdominal pain. She had presented to an outside emergency department 2 days prior with lower abdominal pain that subsequently localized to the right lower quadrant. Her pain was accompanied by anorexia and nonbloody, nonbilious emesis. She denied fevers or chills. She was noted to have voluntary guarding and focal right lower quadrant tenderness to palpation. Laboratory analyses demonstrated a mild leukocytosis (white blood cell count = 14 × 10 3 /μL [to convert to ×10 9 /L, multiply by 0.001]) and normal urinalysis results. Abdominal ultrasonography images were obtained that failed to show her appendix and demonstrated no secondary signs of inflammation. Because of her notable tenderness, she was admitted for observation at the referring facility. No antibiotics were initiated, and her activity improved with intravenous hydration. However, her right lower abdominal pain persisted, prompting further evaluation. Computed tomography images of the abdomen and pelvis were obtained, and the representative images are shown in Figure 1. She was transferred to our facility for surgical evaluation. In our emergency department, pelvic ultrasonography images were obtained that failed to show both the appendix and right adnexal structures. Axial section A Coronal section B Figure 1. Computed tomographic images. Axial (A) and (B) coronal sections demonstrate an inflamed retrocecal mass. WHAT IS YOUR DIAGNOSIS? A. Perforated appendicitis B. Meckel diverticulitis C. Crohn disease D. Ectopic ovarian torsion Clinical Review & Education

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True ectopic ovary in the right iliac fossa mimicking acute appendicitis and associated with ipsilateral renal agenesis

Cited by 9 publications

References 8 publications

A case of dorsal agenesis of pancreas associated with unilateral renal agenesis, unicornuate uterus, and ovarian ectopia: A brief review and learning points

A case of dorsal agenesis of pancreas associated with unilateral renal agenesis, unicornuate uterus, and ovarian ectopia: A brief review and learning points

A Rare Ectopic Ovary Mimicking Colon Sigmoideum Mesenchymoma Presenting as an Intestinal Mesenchymoma

Acute Right Lower Quadrant Abdominal Pain

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