Late complications of the Estes operation for tubal infertility. A case report.

The Estes procedure was designed to restore fertility in women with infertility related to tubal factors by transposition of an ovary into the uterine cavity with preservation of its vascular pedicle. This procedure was performed most commonly in the middle of this century in the United States. Many of these women are now perimenopausal and therefore entering the age of risk for ovarian neoplasia. We treated a patient who developed large intramyometrial cystic masses more than 20 years after undergoing an Estes procedure.