Unilateral absence of fallopian tube and ovary in an infertile patient.

OBJECTIVE

To present a case of unilateral tubal and ovarian absence, along with laparoscopic images.

DESIGN

Case report.

SETTING

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.