Eustace D L
Department of Obstetrics and Gynaecology, St Thomas's Hospital, London, UK.
Eur J Obstet Gynecol Reprod Biol. 1992 Sep 23;46(2-3):157-9. doi: 10.1016/0028-2243(92)90263-x.
Absence of one or both uterine tubes and ovaries is a finding that has rarely been described. Two such cases are presented. In one the anatomical abnormalities were discovered during investigations for primary infertility, in the other the absence was discovered at the time of laparoscopic sterilisation. There are two possible aetiologies. The first involves an asymptomatic torsion of one or both adnexes during adult life or childhood, or even before birth. Alternatively, the absence may be congenital, due either to a defect in the development of the entire Müllerian and Mesonephric systems on one side, or to a defect localised to the region of the genital ridge and the caudal part of the Müllerian duct.
单侧或双侧输卵管及卵巢缺如是一种鲜有描述的发现。本文报告两例此类病例。其中一例在原发性不孕的检查过程中发现解剖学异常，另一例在腹腔镜绝育时发现缺如。病因有两种可能。第一种情况是在成年期、儿童期甚至出生前，一侧或双侧附件发生无症状扭转。另一种可能是先天性的，要么是一侧整个苗勒管和中肾系统发育缺陷，要么是局限于生殖嵴和苗勒管尾部区域的缺陷。
