Gupta Ridhima, Gupta Pushpender
Mountainview Women's Health Center, YVFWC, Grandview, USA.
Kadlec Regional Medical Center, Richland, WA, USA.
J Midlife Health. 2016 Oct-Dec;7(4):185-188. doi: 10.4103/0976-7800.195698.
Ovarian remnant syndrome (ORS) is a rare condition, in which the ovarian tissue is inadvertently left behind after difficult oophorectomy. The most common preexisting conditions associated for this complication include endometriosis, pelvic inflammatory disease, and prior abdominal surgery as in these conditions, removal of ovarian tissue becomes difficult. This is likely due to the presence of the dense fibrotic adhesions between an ovary and the surrounding structures. This residual ovarian tissue can become functional and cystic. A 56-year-old multigravida postmenopausal female was diagnosed with intestinal obstruction. She had multiple abdominal surgeries in the past, including cholecystectomy, appendectomy, hysterectomy, and bilateral salpingo-oophorectomy. Patient underwent exploratory laparotomy. Intraoperatively, extensive adhesions and scarring of bowel wall were present and approximately 15 cm proximal to the terminal ileum, a small bowel mesenteric nodule was present. Histopathology of the mesenteric nodule was consistent with the diagnosis of overian remnant. ORS can be prevented with careful resection of the entire ovarian tissue during the difficulty oophorectomy so that no ovarian tissue is left behind.
卵巢残留综合征（ORS）是一种罕见的病症，即在困难的卵巢切除术后不经意间遗留了卵巢组织。与这种并发症相关的最常见既往病症包括子宫内膜异位症、盆腔炎和既往腹部手术，因为在这些情况下，卵巢组织的切除变得困难。这可能是由于卵巢与周围结构之间存在致密的纤维化粘连。这种残留的卵巢组织可变得有功能并形成囊肿。一名56岁多产绝经后女性被诊断为肠梗阻。她过去接受过多次腹部手术，包括胆囊切除术、阑尾切除术、子宫切除术和双侧输卵管卵巢切除术。患者接受了剖腹探查术。术中可见广泛的粘连和肠壁瘢痕形成，在回肠末端近端约15厘米处有一个小肠系膜结节。系膜结节的组织病理学与卵巢残留的诊断一致。在困难的卵巢切除术中仔细切除整个卵巢组织，不留任何卵巢组织，可预防卵巢残留综合征。
