Surgical Transpositioning of Ectopic Ovarian Tissue and Pregnancy

Halil, Sait; Küçük, Mert; Çepni, İsmail

doi:10.1159/000259352

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…With the rapid development of reproductive medicine, functional infertility is decreasing, but unexplained infertility still accounts for 10-20% of female infertility [3,4,5]. Trace elements are necessary for enzyme, hormone and vitamin metabolism, which plays an important role in female reproductive function [6].…”

Section: Introductionmentioning

confidence: 99%

Severe Iron Deficiency Is Associated with a Reduced Conception Rate in Female Rats

Li¹,

Cao²,

Bai³

et al. 2013

Gynecol Obstet Invest

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Background/Aims: Iron deficiency is a global nutritional disorder, especially for pregnant women. There is a close relationship between deficiency in trace elements and unexplained infertility in females. However, the relationship between iron deficiency and unexplained infertility has not been determined. This study was designed to determine the effect of iron deficiency on conception in a rat model. Methods: Female rats were randomly divided into two groups (n = 15 each): an iron-deficiency group fed a low iron diet and a normal control group. Both groups of female rats were mated with healthy male rats after the iron-deficiency model was established. Results: Iron-deficient rats developed white skin and eyes, hair loss, and weight loss. Hemoglobin levels and red blood cell count were significantly lower than in controls, showing successful establishment of the iron-deficiency model. There was a significantly lower conception rate in the iron-deficiency group; there also appeared to be a disruption of estrus and a delay in conception in the iron-deficiency group. Conclusions: Severe iron deficiency has a significant influence on fertility, and may be an important factor in unexplained infertility. Further research on the role of iron in conception is warranted.

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Section: Introductionmentioning

confidence: 99%

Severe Iron Deficiency Is Associated with a Reduced Conception Rate in Female Rats

Li¹,

Cao²,

Bai³

et al. 2013

Gynecol Obstet Invest

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“…Some anamnestic key features could direct the clinician to an ovarian malposition: cyclic abdominal pain above the pelvis (due to cyst formation or ovulation), dysmenorrhea or menstrual irregularities, associated uterine or renal malformations or a history of infertility. 8,12,18,32 When complications such as torsion, cyst rupture or ectopic tubal pregnancy occur, they may lead to acute surgical abdomen. 5,6,15 In terms of differential diagnosis, the most common are appendicular pathologies (acute appendicitis, mucocele) or gynecological disorders.…”

Section: Clinical Features and Differential Diagnosismentioning

confidence: 99%

“…Another unclear relationship is between the UO and infertility. There is strong evidence of retrieving oocytes from an ectopic ovary, 18,33,55 as well as of a spontaneous intrauterine pregnancy with a transperitoneal migrated oocyte produced from a UO. 56,57 In 2016 Suh postulated that, for a spontaneous pregnancy to occur, a patient needs to possess at least 1 normal tube and 1 functional ovary.…”

Section: Evolution and Prognostic Concernsmentioning

confidence: 99%

“…17,65 As alternative surgical interventions, we found in-situ fixation of the UO for preventing torsion, 11 or its transposition to the posterior wall of the uterus when the other ovary is absent or does not respond to ovarian hyperstimulation treatment. 18 In patients with persistent recurrent abdominal pain, denervation of the ovary or ovarian suppression with oral contraceptives were suggested. 30,31 This literature research revealed that oophorectomy was made in 11 cases: 5 (41.6%) in children and 6 (17.1%) in adult symptomatic women.…”

Section: Principles Of Treatmentmentioning

confidence: 99%

“…16,17 The role of the UO in infertility is still unclear. 2,18 The aim of the present review is to provide a complete and accurate picture of this rare pathology, including documented cases from the early 20th century to the present. We classified the cases according to the presence of symptoms and age of the patients, hoping to capture specific aspects useful for other colleagues facing the same pathology and for establishing some directions in the diagnosis and management of similar cases.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic and Management of Undescended Ovary – A Preoperative Dilemma: A Case-Based Systematic Review

Ștefanopol¹,

Baroiu²,

Constantin³

et al. 2022

IJWH

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Undescended ovary (UO) is an uncommon congenital condition characterized by the presence of the adnexa above the common iliac vessels, with an estimated incidence of 0.3-2%. Because of its rarity, it is usually presented as a case report. A thorough knowledge of the ovarian embryological development is essential for the clinician, who must be warned about the possibility of associated Müllerian and renal malformations. There may be asymptomatic patients, incidentally diagnosed during infertility evaluation, but when symptoms occur, these are unspecific and most often this disorder is misdiagnosed, the accurate diagnosis being established intraoperatory. The malignant potential of an UO is accepted, although no such cases were reported. The role of the UO in infertility is still unclear, despite evidence of its normal function. Complications are linked to the ovary (cyst formation, cyst ruptures or tumors) or to the undescended fallopian tube (ectopic pregnancies). The management should be conservative, but there is no consensus about whether it is necessary to excise the ipsilateral undescended tube. We included a short case presentation of an UO cystadenoma misdiagnosed as a renal cyst, which depicts all diagnostic and management dilemmas and inspired us to write this review. The present literature review includes all the cases reported from the early 20th century to the present, with updated data about epidemiology, pathophysiology, clinical and imaging diagnosis, treatment options and prognosis of this rare condition. This paper aims to establish some directions in the diagnosis and management of similar patients and to remind us that, no matter how advanced the imaging investigation techniques might be, a correct preoperative diagnosis may often be missed.

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