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Ectopic ovary autotransplanted over rectosigmoid colon: a case report.
Vugar Bayramov1, Yavuz Emre Şükür1, Esra Çetinkaya1
1Obstetrics and Gynecology Department, Faculty of Medicine, Ankara University, Ankara, Turkey.
Fertility and Sterility
|August 1, 2009
Summary
This case report details a rare instance of an ectopic ovary found over the rectosigmoid colon. Surgical removal was performed, with considerations for preserving ovarian reserve in nulliparous women.
Area of Science:
- Gynecologic Surgery
- Reproductive Medicine
- Surgical Pathology
Background:
- Ectopic ovaries are rare congenital anomalies, often asymptomatic and diagnosed incidentally.
- This report focuses on a unique case of an ectopic ovary located on the serosa of the rectosigmoid colon.
Observation:
- A 30-year-old nulliparous woman presented with an ectopic ovary situated in the cul-de-sac, overlying the rectosigmoid colon serosa.
- Diagnostic interventions included ultrasonography, laparoscopy, and subsequent pathologic assessment.
Findings:
- Laparoscopic intervention confirmed the presence of a viable, ectopic ovary with focal areas of infarction.
- Pathologic examination verified the ectopic ovarian tissue and its location.
Implications:
- Surgical excision is the standard treatment for symptomatic ectopic ovarian masses.
- For asymptomatic, nulliparous women desiring future fertility, conservative management to preserve ovarian reserve may be a viable alternative.
