Department of Obstetrics and Gynecology, Turkish Kidney Foundation, Hizmet Hospital, Istanbul, Turkey.
Gynecol Obstet Invest. 2010;69(2):78-80. doi: 10.1159/000259352. Epub 2009 Nov 18.
Our objective was to report transpositioning an ectopic ovary, successfully using the assisted reproduction technique (ART), with the outcome of retrieving an oocyte from the transpositioned ovary during ART.
The couple, presenting with a history of 2 years of secondary infertility, was admitted to our hospital. Two years earlier, the patient had undergone a left salpingo-oophorectomy for a ruptured ectopic pregnancy. The right ovary had not been detected during the previous operation. During surgery, we observed that the right ovary was attached to the posterior abdominal wall near the hepatic flexura. It was repositioned, moved, placed and fixed to the posterior wall of the uterus. One follicle developed and was retrieved from the transpositioned ovary during in vitro fertilization. The patient now has a healthy ongoing singleton pregnancy.
An ectopic ovary is an extremely rare gynecological entity. Transpositioning an ectopic ovary should be kept in mind as a possible procedure for the management of patients presenting with infertility where the other ovary is absent or does not respond to controlled ovarian hyperstimulation treatment.
我们的目的是报告一例异位卵巢转位术，成功应用辅助生殖技术（ART），在 ART 过程中从转位后的卵巢中取出一个卵子。
这对夫妇因继发性不孕 2 年而就诊于我院。2 年前，该患者因宫外孕破裂而行左侧输卵管-卵巢切除术。既往手术中未发现右侧卵巢。术中观察到右侧卵巢附着于肝曲附近的后腹壁。将其重新定位、移动、放置并固定到子宫后壁。一个卵泡在体外受精过程中从转位的卵巢中取出。目前患者妊娠正常。
异位卵巢是一种极为罕见的妇科实体。对于因其他卵巢缺失或对控制性卵巢过度刺激治疗无反应而导致不孕的患者，异位卵巢转位术应作为一种可能的治疗方法。
