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Table of Contents
LETTER TO EDITOR
Year : 2022  |  Volume : 11  |  Issue : 3  |  Page : 190-191

An ectopic ovary: A unicornuate uterus with a rudimentary horn: Is there a connection?


1 Department of Obstetrics and Gynecology, Albasheer Hospital, Jordan Ministry of Health, Amman, Jordan
2 Department of Obstetrics and Gynecology, Albasheer Hospital, Faculty of Medicine, University of Jordan, Amman, Jordan
3 Private Clinic, Amman, Jordan

Date of Submission21-Jun-2021
Date of Acceptance14-Apr-2022
Date of Web Publication5-Aug-2022

Correspondence Address:
Dr. Luay Ibrahim Abu Atileh
Department of Obstetrics and Gynecology, Albasheer Hospital, Jordan Ministry of Health, Amman
Jordan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/gmit.gmit_82_21

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How to cite this article:
Atileh LI, Murad MA, Kaylani L, Hamdan A. An ectopic ovary: A unicornuate uterus with a rudimentary horn: Is there a connection?. Gynecol Minim Invasive Ther 2022;11:190-1

How to cite this URL:
Atileh LI, Murad MA, Kaylani L, Hamdan A. An ectopic ovary: A unicornuate uterus with a rudimentary horn: Is there a connection?. Gynecol Minim Invasive Ther [serial online] 2022 [cited 2022 Aug 15];11:190-1. Available from: https://www.e-gmit.com/text.asp?2022/11/3/190/353430



Dear Editor,

A 34-year-old female presented to our clinic for evaluation of infertility. A diagnostic laproscopic procedure was performed with the main entry through the umbilicus, as well as two adjacent ancillary ports on the left side. Intraoperatively, a unicornuate uterus was revealed along with a noncommunicating rudimentary horn. Each horn was attached to an ovary through its adjacent utero-ovarian ligament. A third ovary was found in the right iliac fossa alongside the appendix as shown in [Figure 1] and [Figure 2]. The intraoperative decision regarding the removal of the morphologically observed ectopic ovary was dependent on patient consent, so it was preserved, in addition to the absence of any visible indications to remove the mass. An ectopic ovary should be suspected if a thick-walled cystic lesion is seen on imaging studies, the diagnosis can be made through computed tomography, ultrasound, magnetic resonance imaging, and color Doppler.[1]
Figure 1: Laparoscopic view showing both the right ovary and the ectopic ovary lying in the anterior cul-de-sac R: indicates the ovary in its normal position E: indicates the ectopic ovary

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Figure 2: Laparoscopic view showing the ectopic ovary lying adjacent to the appendix E: indicates the ectopic ovary

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The ectopic ovary is a rare entity and is usually incidentally found, as they are asymptomatic thus underreported. Ectopic ovaries may be painful, functional, multiple, or associated with other congenital malformations of the female genitourinary tract.[2] The association between ectopic ovaries and other embryologic anomalies remains unclear. Ectopic ovaries are mentioned in various locations throughout the literature such as the omentum, para-aortic, pelvis, intra-renal, bladder, and colonic mesentery.[3] The supernumerary ovary is usually of equal size compared to a normal ovary, contrary to the accessory ovary which is smaller than 1 cm. We do not know if a detailed imaging study before carrying out a procedure would alter future management options. The benefit of operating on such cases to reduce risks related to torsion or malignant changes requires further studies.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient has given her consent for her images and other clinical information to be reported in the journal. The patient understands that her names and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Hartigan K, Pecha B, Rao G. Intrarenal supernumerary ovary excised with partial nephrectomy. Urology 2006;67:424.e11-2.  Back to cited text no. 1
    
2.
Bae HS, Ryu MJ, Kim IS, Kim SH, Song JY. Cancer of the supernumerary ovary in Mayer-Rokitansty-Küster-Hauser Syndrome: A case report. Oncol Lett 2013;5:598-600.  Back to cited text no. 2
    
3.
Lim CK, Kim HJ, Pack JS, Ha JG, Yang YS, Lee HK, et al. Supernumerary ovary on recto-sigmoid colon with associated endometriosis. Obstet Gynecol Sci 2018;61:702-6.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

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