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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
ArchiveEthical StandardsSubscription
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InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
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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)

References

  1. Fujimoto T., Tanaka K., Yamada K., Shimahata K. Incidental finding of an accessory ovary at laparoscopic surgery. Gynecol. Minim. Invasive Ther. 2019; 8(4): 176-8. https://dx.doi.org/10.4103/GMIT.GMIT_92_18.
  2. Kiuchi K., Hasegawa K., Nagai T., Watanabe M., Kosaka N., Machida H. et al. Uterine cervical adenocarcinoma metastasizing concurrently to eutopic and ectopic ovaries: A case report. J. Obstet. Gynaecol. Res. 2016; 42(7):899-904. https://dx.doi.org/10.1111/jog.12977.
  3. Zang L., Ye M., Yang G., Li J., Liu M., Du J. et al. Accessory ovarian steroid cell tumor producing testosterone and cortisol. Medicine (Baltimore). 2017; 96(37): e7998. https://dx.doi.org/10.1097/MD.0000000000007998.
  4. Lim C.K., Kim H.J., Pack J.S., Ha J.G., Yang Y.S., Lee H.K. et al. Supernumerary ovary on recto-sigmoid colon with associated endometriosis. Obstet. Gynecol. Sci. 2018; 61(6): 702-6. https://dx.doi.org/10.5468/ogs.2018.61.6.702.
  5. Wharton L.R. Two cases of supernumerary ovary and one accessory ovary, with an analysis of previously reported cases. Am. J. Obstet. Gynecol. 1959; 78:1101-19. https://dx.doi.org/10.1016/s0002-9378(16)36660-1.
  6. Zhou X., Tang X., Zhang F., Yang X. Accessory ovary may be a treatment for infertility: Case report and review of current literatures. J. Obstet. Gynaecol. Res. 2020; 46(11): 2435-41. https://dx.doi.org/10.1111/jog.14430.
  7. El-Gohary Y., Pagkratis S., Lee T., Scriven R. Supernumerary ovary presenting as a paraduodenal duplication cyst. J. Pediatr. Surg. Case Rep. 2015; 3(8):316-9.
  8. Cruikshank S. Supernumerary ovary: embryology. Int. J. Gynaecol. Obstet. 1990; 34(2): 175-8. https://dx.doi.org/10.1016/0020-7292(91)90234-v.
  9. Pearl M., Plotz E. Supernumerary ovary. Report of a case. Obstet. Gynecol. 1963; 21: 253-6.
  10. Printz J., Choate J., Townes P., Harper R. The embryology of supernumerary ovaries. Obstet. Gynecol. 1973; 41(2): 246-52.
  11. Camilleri A., Micallef T., Ellul J., Said J. Homograft transplantation of the ovary. Transplantation. 1976; 22(3): 308-11.
  12. Nishio E., Hirota Y., Yasue A., Nishizawa H., Tsukada K., Udagawa Y. Two cases of ectopic ovary and one case of potential ectopic ovary. Reprod. Med. Biol. 2011; 10(1): 51-4. https://dx.doi.org/10.1007/s12522-010-0064-3.
  13. Lachman M., Berman M. The ectopic ovary. A case report and review of the literature. Arch. Pathol. Lab. Med. 1991; 115(3): 233-5.
  14. Nomelini R., De C Oliveira L., Jammal M., Adad S., Murta E. Serous papillary cystadenocarcinoma in supernumerary ovary. J. Obstet. Gynaecol. 2013; 33(3): 324. https://dx.doi.org/10.3109/01443615.2012.749847.
  15. Bayramov V., Emre Y., Cetinkaya E., Berker B. Ectopic ovary autotransplanted over rectosigmoid colon: a case report. Fertil. Steril. 2009; 92(4):1496. https://dx.doi.org/10.1016/j.fertnstert.2009.05.072.
  16. Morabito G., Daidone A., Murru F., Iaquinto M., Faleschini E., Barbi E., Cozzi G. A young girl with right ovarian torsion and left ovarian ectopy. Ital. J. Pediatr. 2020; 46(1): 51. https://dx.doi.org/10.1186/s13052-020-0811-y.
  17. Burnett J.E. Jr. Supernumerary ovary. A case report. Am. J. Obstet. Gynecol. 1961; 82: 929-30. 10.1016/s0002-9378(16)36168-3.
  18. Yogini D., Balasubramaniam D., Ezhil M., Periyasamy K., Palanivelu C. Supernumerary ovary: A case report. POJ. Gyn. Obst. Res. 2017; 1(1): P1-4. https://dx.doi.org/10.32648/2578-8787/1/1/002.
  19. Ombelet W., Grieten M., DeNeubourg P., Verswijvel G., Buekenhout L. Hinoul P. et al. Undescended ovary and unicornuate uterus: simplified diagnosis by the use of clomiphene citrate. Hum. Reprod. 2003; 18(4): 858-62. https://dx.doi.org/10.1093/humrep/deg191.
  20. Адамян Л.В., Попрядухин А.Ю., Аракелян А.С., Козаченко И.Ф., Фархат К.Н. Аплазия матки и влагалища (синдром Майера–Рокитанского–Кюстера–Хаузера) в сочетании с эндометриозом: нерешенные аспекты этиологии и патогенеза (обзор литературы). Проблемы репродукции. 2016; 22(3): 8-14. [Adamyan L.V., Popryaduhin A.Yu., Arakelyan A.S., Kozachenko I.F., Farkhat K.N. Aplasia of the uterus and vagina (Mayer–Rokitansky–Kuster–Hauser syndrome) in combination with endometriosis: unresolved aspects of etiology and pathogenesis (literature review). Problemy reprodukcii/Problems of reproduction. 2016; 22(3): 8-14. (in Russian)]. doi:10.17116/repro20162238-14.
  21. Фархат К.Н., Бобкова М.В., Аракелян А.С., Козаченко И.Ф. Эндометриоз у пациенток с синдромом Майера-Рокитанского-Кюстера-Хаузера. Проблемы репродукции. 2016; 22(4): 81-5. [Farkhat K.N., Bobkova M.V., Arakelyan A.S., Kozachenko I.F. Endometriosis in patients with Mayer-Rokitansky-Kuster-Hauser syndrome. Problemy reprodukcii/Problems of reproduction. 2016; 22(4): 81-5. (in Russian)]. https://dx.doi.org/10.17116/repro201622481-85.
  22. Bae H.S., Ryu M.J., Kim I.S., KIim S.H., Song J.Y. Cancer of the supernumerary ovary in Mayer–Rokitansty–Küster–Hauser Syndrome: A case report. Oncol. Lett. 2013; 5(2): 598-600. https://dx.doi.org/10.3892/ol.2012.1073.
  23. Давыдов С.Н. Кольпопоэз из брюшины прямокишечного углубления. Акушерство и гинекология. 1969; 45(12): 55. [Davydov S.N. Colpopoiesis from the peritoneum of the rectal cavity. Akusherstvo i ginekologiya/Obstetrics and gynecology. 1969; 45: 55. (in Russian)].
  24. Адамян Л.В., Кулаков В.И., Хашукоева А.З. Пороки развития матки и влагалища. М.: Медицина; 1998. 67с. [Adamyan L.V., Kulakov V.I., Khashukoeva A.Z. Malformations of the uterus and vagina. M.: Medicine; 1998. (in Russian)].

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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