Undescended ovary mimicking appendiceal mucocele

Shih, Ting-Han; Ho, Cheng‐Maw

doi:10.1016/j.surg.2013.10.007

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…40 The retroperitoneal position of the ovary may lead to a higher risk of malignant changes in analogy with the undescended testis. 4,16,17,52 After searching the literature we found 4 cases of cystadenomas in UO, including our patient, but no malignant neoplasms. 38,53,54 Thus we can conclude that there is no documented association between UO and malignancy.…”

Section: Evolution and Prognostic Concernsmentioning

confidence: 82%

See 1 more Smart Citation

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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Section: Evolution and Prognostic Concernsmentioning

confidence: 82%

“…[13][14][15] The malignant potential of an UO is accepted, although no such cases have been reported. 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.…”

Section: Introductionmentioning

confidence: 99%

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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“…A few cases have also been detected by hysterosalpingography during the infertility evaluation . Differential diagnosis of ovarian maldescent can include appendiceal mucocele and ectopic ovary …”

Section: Discussionmentioning

confidence: 99%

Bilateral ovarian maldescent: Unusual cause of infertility – A case report and literature review

Garg

Grazi

Kankanala

et al. 2016

J of Obstet and Gynaecol

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Infertility due to ovarian maldescent is extremely rare and diagnosis can be challenging in the absence of uterine anomalies. We present a case of infertility due to bilateral ovarian maldescent with normal uterine anatomy who conceived after in vitro fertilization and did not require removal of the ovaries. A 19-year-old woman presented with primary infertility. After three failed cycles of ovulation induction/intrauterine insemination and one failed cycle of fresh embryo transfer, the patient underwent laparoscopy, which showed bilateral ovaries above the pelvic brim. The patient conceived after second in vitro fertilization and delivered at 34 weeks. Accurate diagnosis of ovarian maldescent in a patient of unexplained infertility and normal uterus is crucial for successful follicular aspiration and infertility treatment. It is important to counsel patients about the benign nature of this rare entity and future fertility.

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Undescended ovary mimicking appendiceal mucocele

Cited by 2 publications

References 2 publications

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

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

Bilateral ovarian maldescent: Unusual cause of infertility – A case report and literature review

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