Department of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Turkey.
Fertil Steril. 2011 Jul;96(1):e55-7. doi: 10.1016/j.fertnstert.2011.04.027. Epub 2011 May 11.
To present a case of unilateral tubal and ovarian absence, along with laparoscopic images.
Case report.
University hospital.
PATIENT(S): A 21-year-old patient presented with primary infertility of 3 years' duration. Left adnexal structures were not visualized on transvaginal ultrasound and hysterosalpingography.
INTERVENTION(S): Diagnostic laparoscopy and hysteroscopy.
MAIN OUTCOME MEASURE(S): Complete absence of the left fallopian tube together with ovary was detected during laparoscopy. Subsequent karyotyping and urinary tract evaluation with intravenous pyelography were planned.
RESULT(S): Ipsilateral absence of the fallopian tube and ovary without any other system anomalies were detected.
CONCLUSION(S): Torsion or congenital defect might be the possible etiologic factors. However, vascular accident stands in the forefront of suggested etiologies. Laparoscopy is a feasible option as a diagnostic tool for these kinds of cases.
呈现单侧输卵管和卵巢缺失病例，并展示腹腔镜图像。
病例报告。
大学医院。
一位 21 岁患者因原发性不孕 3 年来就诊。经阴道超声和子宫输卵管造影均未显示左侧附件结构。
诊断性腹腔镜和宫腔镜检查。
腹腔镜检查发现左侧输卵管和卵巢完全缺失。随后计划进行核型分析和静脉肾盂造影评估尿路。
发现同侧输卵管和卵巢缺失，无其他系统异常。
扭转或先天性缺陷可能是潜在的病因。然而，血管意外是目前提出的病因中最有可能的原因。腹腔镜是这类病例的一种可行的诊断工具。
