Undescended ovary presented with paraovarian cyst

Desteli, Güldeniz; Eraslan, Türkan; Çevik, Halime; Zeyneloglu, Hulusi Bulent

doi:10.5505/tjod.2013.59862

Cited by 2 publications

(11 citation statements)

References 13 publications

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“…[ 4 ] Unicornuate uterus is more common and reported in 40% of cases of maldescended ovaries. [ 1 ] In unilateral undescended ovary, the ipsilateral tube is usually distant from uterus and only distal fimbria exists,[ 2 ] as observed in our case [ Figure 2 ].…”

Section: Discussionmentioning

confidence: 60%

“…Maldescended ovaries and fallopian tubes occur infrequently. Ovarian maldescent has a very low incidence between 0.3% and 2%,[ 2 ] and it may be unilateral or bilateral. Patients may present with symptoms of abdominal pain or infertility or may otherwise be found incidentally in the asymptomatic population.…”

Section: Discussionmentioning

confidence: 99%

“…Each ovary should descend to the ovarian fossae in the pelvis via the gubernaculum, which is a mesenteric fold, by chemotactic mechanisms between 6 and 9 weeks depending on normal development of the Müllerian system. [ 2 ] By week 20 gestation, the ovaries ought to be in the iliac fossae and located at the pelvic inlet at term. The ovaries should finally be at their normal place by the postpartum period.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment of ovarian maldescent has been suggested to be conservative. [ 2 ] Continuous treatment with oral contraceptives has been advised for patients with pain;[ 2 ] however, our patient wanted to conceive as such the pill was not the correct measure for her.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors advocate denervation of ectopic ovary for pain management; however, due to the difficulty of the technique and lack of literature, it is not a common practice. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

Ireo

Haruna

Gandhi

2018

Gynecol Minim Invasive Ther

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Ovarian maldescent is an extremely rare gynecological phenomenon, usually associated with Müllerian abnormalities. We report a 27-year-old woman, presenting with acute, right-sided abdominal pain. She has a history of subfertility and repeated admissions with chronic pelvic pain. Previous hysterosalpingogram and laparoscopy demonstrated unicornuate uterus with absent right fallopian tube and ovary. A right-sided, ectopic ovary was identified on later imaging and suspected as the cause of her symptoms. She underwent laparoscopic excision of the maldescended ovary with remnant fimbrial end and gubernaculum. She was discharged the following day as she was pain-free and remains so 11 months later. This case report prompts a gynecologist to consider diagnosis of maldescended ovary in the women with uterine abnormalities and repeated episodes of abdominal pain. This is the first case report to the best of our knowledge where surgical management of ovarian maldescent was performed via minimal access approach, thus avoiding laparotomy in this acute setting.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Some authors advocate denervation of ectopic ovary for pain management; however, due to the difficulty of the technique and lack of literature, it is not a common practice. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

Ireo

Haruna

Gandhi

2018

Gynecol Minim Invasive Ther

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Diagnostic and Management of Undescended Ovary – A Preoperative Dilemma: A Case-Based Systematic Review

Ștefanopol¹,

Baroiu²,

Constantin³

et al. 2022

IJWH

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Undescended ovary (UO) is an uncommon congenital condition characterized by the presence of the adnexa above the common iliac vessels, with an estimated incidence of 0.3-2%. Because of its rarity, it is usually presented as a case report. A thorough knowledge of the ovarian embryological development is essential for the clinician, who must be warned about the possibility of associated Müllerian and renal malformations. There may be asymptomatic patients, incidentally diagnosed during infertility evaluation, but when symptoms occur, these are unspecific and most often this disorder is misdiagnosed, the accurate diagnosis being established intraoperatory. The malignant potential of an UO is accepted, although no such cases were reported. The role of the UO in infertility is still unclear, despite evidence of its normal function. Complications are linked to the ovary (cyst formation, cyst ruptures or tumors) or to the undescended fallopian tube (ectopic pregnancies). The management should be conservative, but there is no consensus about whether it is necessary to excise the ipsilateral undescended tube. We included a short case presentation of an UO cystadenoma misdiagnosed as a renal cyst, which depicts all diagnostic and management dilemmas and inspired us to write this review. The present literature review includes all the cases reported from the early 20th century to the present, with updated data about epidemiology, pathophysiology, clinical and imaging diagnosis, treatment options and prognosis of this rare condition. This paper aims to establish some directions in the diagnosis and management of similar patients and to remind us that, no matter how advanced the imaging investigation techniques might be, a correct preoperative diagnosis may often be missed.

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Undescended ovary presented with paraovarian cyst

Abstract: SUMMARY

Cited by 2 publications

References 13 publications

Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

Laparoscopic management of maldescended ovary presenting with recurrent acute abdomen

Diagnostic and Management of Undescended Ovary – A Preoperative Dilemma: A Case-Based Systematic Review

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