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Ovarian remnant syndrome.
1Section of Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1989
Summary
Ovarian remnant syndrome, often overlooked, causes pelvic pain after bilateral salpingo-oophorectomy. Surgical removal of the remaining ovarian tissue is necessary for symptom relief.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Ovarian remnant syndrome (ORS) is a rare condition occurring after bilateral salpingo-oophorectomy.
- Patients typically present with persistent pelvic pain and dyspareunia, often misdiagnosed due to prior hysterectomy.
- Previous pelvic surgeries may contribute to ORS development.
Purpose of the Study:
- To describe the clinical presentation, surgical management, and outcomes of patients with ovarian remnant syndrome.
- To highlight the diagnostic challenges and emphasize the importance of recognizing ORS.
Main Methods:
- Retrospective review of 27 patients undergoing surgery for ORS over a 7-year period.
- Analysis of presenting symptoms, diagnostic findings (palpation, CT scans), and surgical procedures performed.
- Correlation of previous surgical history with ORS development.
Main Results:
- Pelvic pain was the primary symptom in all 27 patients.
- A palpable mass was present in 20 patients; CT scans revealed lesions in 3 others.
- Laparotomy identified ovarian remnants in 4 patients with no palpable mass or abnormal scans.
- Additional procedures included segmental bowel resection (8 patients) and partial bladder resection (2 patients).
Conclusions:
- Ovarian remnant syndrome requires surgical intervention for symptom resolution.
- Increased awareness among healthcare providers is crucial for timely diagnosis and treatment.
- ORS is distinct from residual ovary syndrome and often necessitates complex surgical management.