Ovarian remnant syndrome

Management of Chronic Pelvic Pain

“…However, it is still considered a rare event with a difficult to establish incidence. The literature on this topic has been limited by small sample sizes, with the largest case series, by Magtibay et al [36], involving 186 women. One reason for an ill-defined incidence may be delayed or missed diagnosis, with physicians less suspicious of a gynecologic etiology in women presenting with lower abdominal pain who have had a hysterectomy and bilateral salpingo-oophorectomy (BSO).…”

Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome

“…Surgical removal of an ovarian remnant therefore can be challenging and has a modest intraoperative risk of injury to the bowel, bladder, or ureters (1). In the largest recent case series of ovarian remnant syndrome, Magtibay et al (1) reported that all patients whose cases were managed by laparotomy had a minimal (<1%) recurrence rate and clinically significant improvement (>90% resolution) in pain.…”

“…Regardless of the surgical route, the same basic surgical principles were followed: [1] high religation and resection of the gonadal vessels, [2] bilateral stripping and excision of the pelvic sidewall peritoneum, and [3] wide excision of the tissue surrounding the remnant ovary ( Figs. 1-3).…”

“…The largest case series published recently involved 186 patients who were all approached by laparotomy (1). Although management of ovarian remnant syndrome with laparoscopy has been described (2,3), debate about the optimal surgical route remains.…”

Syndrome de l’ovaire rémanent : difficultés diagnostiques et stratégies thérapeutiques

“…Le syndrome de l'ovaire rémanent (SOR) est une complication rare survenant après une ovariectomie uni-ou bilatérale avec ou sans hystérectomie [1,2]. Il se traduit cliniquement par un syndrome douloureux abdominopelvien, d'évolution parfois cyclique, associé ou non à la palpation d'une masse pelvienne.…”