'Acute' residual ovary syndrome

Area of Science:

• Gynecology
• Pathology
• Surgical Outcomes

Background:

• Residual ovary syndrome (ROS) is a recognized complication following hysterectomy with ovarian preservation.
• ROS is characterized by symptoms such as pelvic pain, palpable pelvic mass, and dyspareunia.
• It is estimated that 5% of patients undergoing hysterectomy may develop ROS, often necessitating surgical intervention.

Observation:

• A case study of a 41-year-old woman presenting with a rapidly developing abdominopelvic mass post-hysterectomy and right salpingo-oophorectomy.
• The mass, measuring equivalent to a 24-week gestation pregnancy, appeared within 11 weeks of surgery.
• Laparotomy revealed a large benign ovarian cyst (11.5 x 11.0 x 14.1 cm).

Findings:

• Histological examination confirmed the presence of benign, thick-walled follicular cysts.
• This case demonstrates an 'acute' presentation of ROS.
• The reported 11-week latent period represents the shortest onset of ROS documented to date.

Implications:

• The findings underscore the potential for rapid development of ROS, even with a single ovary conserved.
• This case emphasizes the importance of vigilant monitoring for pelvic masses and associated symptoms post-hysterectomy.
• Further research into the mechanisms and risk factors for acute ROS may improve patient outcomes and surgical planning.