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Ovarian remnant with bilateral duplicate ureters
Thomas L Lyons1, Allyson J Adolph, Wendy K Winer
1Center for Women's Care and Reproductive Surgery, Atlanta, Georgia 30328, USA.
Summary
A young woman with chronic pelvic pain and a history of endometriosis underwent surgery for an adnexal mass. The mass, initially suspected to be endometriosis, was ultimately diagnosed as a hemorrhagic corpus luteal cyst.
Area of Science:
- Gynecology
- Urology
- Surgical Pathology
Background:
- A 27-year-old female presented with acute chronic pelvic pain.
- She had a prior salpingo-oophorectomy for an endometrioma and known bilateral duplicate ureters.
- Imaging revealed a left adnexal mass.
Purpose of the Study:
- To investigate the etiology of a left adnexal mass in a patient with a history of endometriosis and pelvic pain.
- To evaluate the management of complex adnexal masses in women with pre-existing gynecological and urological conditions.
Main Methods:
- Diagnostic laparoscopy was performed.
- Retroperitoneal dissection of endometriosis was conducted.
- Excision of the left adnexal mass from the pelvic sidewall was achieved.
Main Results:
- The surgical procedure successfully removed the adnexal mass.
- Final histopathological examination confirmed the mass to be a hemorrhagic corpus luteal cyst.
- Endometriosis was also addressed during the retroperitoneal dissection.
Conclusions:
- Hemorrhagic corpus luteal cysts can present as adnexal masses mimicking other gynecological pathologies.
- Laparoscopic management is effective for the excision of such masses.
- Careful pre-operative evaluation is crucial, especially in patients with complex medical histories including endometriosis and ureteral anomalies.