Mahmoud Mohamad S
J Reprod Med. 2014 May-Jun;59(5-6):337-40.
Maldescended ovary is a rare entity which has been associated with Müllerian and kidney dysgenesis. It can be discovered incidentally during a workup for pelvic or abdominal pain or an infertility workup. While MRI is the best diagnostic tool for the discovery of this entity, it can also be discovered using pelvic or abdominal ultrasound or hysterosalpingogram or by diagnostic laparoscopy.
We present a case of maldescended ovary associated with a unicornuate uterus, normal left ovary and fallopian tube, elongated right fallopian tube and utero-ovarian ligament, and right pelvic kidney, discovered incidentally during a workup for chronic pelvic and abdominal pain.
It is important to consider looking for a maldescended ovary whenever a patient has a Müllerian and/or kidney anomaly with absence of one or both ovaries on pelvic imaging.
卵巢下降不全是一种罕见情况,与苗勒管和肾脏发育不全有关。它可在盆腔或腹痛检查或不孕症检查过程中偶然发现。虽然磁共振成像(MRI)是发现该情况的最佳诊断工具,但也可通过盆腔或腹部超声、子宫输卵管造影或诊断性腹腔镜检查发现。
我们报告一例卵巢下降不全病例,该病例伴有单角子宫、正常的左侧卵巢和输卵管、延长的右侧输卵管及子宫卵巢韧带,以及右侧盆腔肾,在慢性盆腔和腹痛检查过程中偶然发现。
当患者存在苗勒管和/或肾脏异常且盆腔成像显示一侧或双侧卵巢缺如时,考虑寻找卵巢下降不全很重要。