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The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
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Obstetrics and Gynegology2021№5
A rare concurrence of congenital...

A rare concurrence of congenital ovarian and uterine malformations

DOI
https://dx.doi.org/10.18565/aig.2021.5.191-198

Arakelyan A.S., Farkhat K.N., Adamyan L.V., Popryadukhin A.Yu.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia
Background. The ectopic ovary is a condition that is rarely encountered in gynecological practice, the description of which uses various synonymous terms, such as an accessory ovary, supernumerary ovary, and an auto-amputated ovary. The incidence of this pathology ranges from 1 to 29 000–700 000 clinical cases. Its diagnosis is difficult due to the absence of pathognomonic symptoms characteristic of this ovarian malformation. Surgical tactics remain a controversial issue. According to the results of searching in Google Scholar, Medscape, and PubMed, the authors have described only two cases of the ectopic third ovary in patients with uterine and vaginal aplasia.
Case report. Patient A., aged 22 years, diagnosed with genital organ malformations and uterine and vaginal aplasia, was admitted to the Department of Operative Gynecology. She underwent surgical treatment: laparoscopy-assisted creation of an artificial vagina from the pelvic peritoneum. Revision of the abdominal cavity and pelvis revealed that from the right ovary there is a peritoneal fold that passes cranially and laterally into the accessory ovary. Given the presence of concurrent uterine malformation in the patient, it is possible to use the ectopic ovary during subsequent follicular puncture.
Conclusion. This paper describes an atypical rare clinical case of a concurrence of the ectopic ovary and uterine and vaginal aplasia. Differential diagnosis is a top priority for clinicians. Various clinical and morphological variants of the ectopic ovary require that both obstetricians and gynecologists should pay precise attention and infringe on the interests of physicians of related specialties.

Keywords

ectopic ovary
accessory ovary
uterine and vaginal aplasia
colpopoiesis using the pelvic peritoneum
Full text (in Russian)

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Received 22.10.2020

Accepted 01.02.2021

About the Authors

Alek S. Arakelyan, PhD, Department of Operative Gynecology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: а_arakelyan@oparina4.ru. ORCID: 0000-0003-3655-7938. 117997, Russia, Moscow, Oparina str., 4.
Kristina N. Farkhat, PhD, Department of Operative Gynecology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: farkhat.kristina@mail.ru. ORCID: 0000-0003-1432-7859. 117997, Russia, Moscow, Oparina str., 4.
Leila V. Adamyan, Academician of the Russian Academy of Medical Sciences (RAMS), MD, PhD, Professor, Head of the Department of Operative Gynecology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: adamyanleila@gmail.com. ORCID: 0000-0002-3253-4512. 117997, Russia, Moscow, Oparina str., 4.
Andrey Yu. Popryadukhin, Department of Operative Gynecology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: andrey.rsmy@gmail.com. ORCID: 0000-0003-1466-8266. 117997, Russia, Moscow, Oparina str., 4.

For citation: Arakelyan A.S., Farkhat K.N., Adamyan L.V., Popryadukhin A.Yu. A rare concurrence of congenital ovarian and uterine malformations.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 5: 191-198 (in Russian)
https://dx.doi.org/10.18565/aig.2021.5.191-198
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