Ovary and Fallopian Tube Displacement in an Adolescent Patient with a History of Omphalocele

Omphalocele is an abnormality in which fetal abdominal organs protrude through the abdominal wall.

We report the case of a 13-year-old female with a history of omphalocele repair who presented with acute periumbilical pain, nausea, and vomiting. A computed tomography scan showed a para-ovarian cyst and mild dilation of the small bowel. During laparoscopy, the right ovary and fallopian tube were detached from the uterus and located behind the cecum. Despite this displacement, the ovary appeared to have retained functionality with intact blood supply. We hypothesize that surgical repair led to pelvic adhesion that caused torsion and avulsion of the fallopian tube and utero-ovarian ligament that led to the displacement.

This anatomical change should be considered in surgical patients with a history of omphalocele repair.