Undescended ovary without abnormal development of uterus and urinary system: a report of four cases
Abstract Background Congenital anatomic abnormalities of fallopian tubes and ovaries are rarely reported. Herein, we describe four cases of undescended ovary during laparoscopic surgery with abnormal anatomy of fallopian tube, yet without abnormal uterine development and urinary system abnormalities...
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Format: | Article |
Language: | English |
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BMC
2021-11-01
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Series: | Journal of Ovarian Research |
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Online Access: | https://doi.org/10.1186/s13048-021-00898-7 |
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author | Weixia Wei Wenji Luo Qicai Hu Liping Zeng Ruifang Wu |
author_facet | Weixia Wei Wenji Luo Qicai Hu Liping Zeng Ruifang Wu |
author_sort | Weixia Wei |
collection | DOAJ |
description | Abstract Background Congenital anatomic abnormalities of fallopian tubes and ovaries are rarely reported. Herein, we describe four cases of undescended ovary during laparoscopic surgery with abnormal anatomy of fallopian tube, yet without abnormal uterine development and urinary system abnormalities, which are analyzed by their clinical features and effects on reproductive function. Case presentation For the patients with undescended ovary, the location of unilateral or bilateral upper poles of the ovaries were usually much higher than that of the bifurcation of the common iliac vessel, and the fallopian tubes at the same side opened in the para-colonic sulcus. Among these four patients, two patients had primary infertility, one patient had tubal pregnancy rupture and bleeding, and one patient had uterine leiomyoma. The development of uterus was normal in all cases, and there was no abnormal development of urinary system. During the infertility examination, the fact that fallopian tubes lifted up in hysterosalpingography (HSG) might be regarded as an indicator of possible undescended ovary. The pelvic ultrasonography examination was of limited use in diagnosing undescended ovary. Conclusion Laparoscopy is the gold standard for the diagnosis of undescended ovary. When there is periodic post-sacral spinal pain, MRI or HSG can be used for diagnosis of undescended ovary. |
first_indexed | 2024-04-11T02:43:55Z |
format | Article |
id | doaj.art-02f57bb470e44084bd8672ee1bbeab91 |
institution | Directory Open Access Journal |
issn | 1757-2215 |
language | English |
last_indexed | 2024-04-11T02:43:55Z |
publishDate | 2021-11-01 |
publisher | BMC |
record_format | Article |
series | Journal of Ovarian Research |
spelling | doaj.art-02f57bb470e44084bd8672ee1bbeab912023-01-02T18:22:11ZengBMCJournal of Ovarian Research1757-22152021-11-011411710.1186/s13048-021-00898-7Undescended ovary without abnormal development of uterus and urinary system: a report of four casesWeixia Wei0Wenji Luo1Qicai Hu2Liping Zeng3Ruifang Wu4Department of Obstetrics and Gynecology, Peking University Shenzhen HospitalDepartment of Obstetrics and Gynecology, Peking University Shenzhen HospitalDepartment of Obstetrics and Gynecology, Peking University Shenzhen HospitalDepartment of Obstetrics and Gynecology, Peking University Shenzhen HospitalDepartment of Obstetrics and Gynecology, Peking University Shenzhen HospitalAbstract Background Congenital anatomic abnormalities of fallopian tubes and ovaries are rarely reported. Herein, we describe four cases of undescended ovary during laparoscopic surgery with abnormal anatomy of fallopian tube, yet without abnormal uterine development and urinary system abnormalities, which are analyzed by their clinical features and effects on reproductive function. Case presentation For the patients with undescended ovary, the location of unilateral or bilateral upper poles of the ovaries were usually much higher than that of the bifurcation of the common iliac vessel, and the fallopian tubes at the same side opened in the para-colonic sulcus. Among these four patients, two patients had primary infertility, one patient had tubal pregnancy rupture and bleeding, and one patient had uterine leiomyoma. The development of uterus was normal in all cases, and there was no abnormal development of urinary system. During the infertility examination, the fact that fallopian tubes lifted up in hysterosalpingography (HSG) might be regarded as an indicator of possible undescended ovary. The pelvic ultrasonography examination was of limited use in diagnosing undescended ovary. Conclusion Laparoscopy is the gold standard for the diagnosis of undescended ovary. When there is periodic post-sacral spinal pain, MRI or HSG can be used for diagnosis of undescended ovary.https://doi.org/10.1186/s13048-021-00898-7undescended; maldescent; ovary; infertility |
spellingShingle | Weixia Wei Wenji Luo Qicai Hu Liping Zeng Ruifang Wu Undescended ovary without abnormal development of uterus and urinary system: a report of four cases Journal of Ovarian Research undescended; maldescent; ovary; infertility |
title | Undescended ovary without abnormal development of uterus and urinary system: a report of four cases |
title_full | Undescended ovary without abnormal development of uterus and urinary system: a report of four cases |
title_fullStr | Undescended ovary without abnormal development of uterus and urinary system: a report of four cases |
title_full_unstemmed | Undescended ovary without abnormal development of uterus and urinary system: a report of four cases |
title_short | Undescended ovary without abnormal development of uterus and urinary system: a report of four cases |
title_sort | undescended ovary without abnormal development of uterus and urinary system a report of four cases |
topic | undescended; maldescent; ovary; infertility |
url | https://doi.org/10.1186/s13048-021-00898-7 |
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