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Case Reports
. 2019 Oct 24;8(4):176-178.
doi: 10.4103/GMIT.GMIT_92_18. eCollection 2019 Oct-Dec.

Incidental Finding of an Accessory Ovary at Laparoscopic Surgery

Toshio Fujimoto  1 , Keiko Tanaka  1 , Kyoko Yamada  1 , Kenji Shimahata  1
Affiliations
Case Reports

Incidental Finding of an Accessory Ovary at Laparoscopic Surgery

Toshio Fujimoto et al. Gynecol Minim Invasive Ther. .

Abstract

An accessory ovary is one of the rare gynecologic abnormalities of the female genital tract. The etiology of accessory ovary has been reported to be acquired origin, such as postsurgical or postinflammatory implants, and true embryologic origin. However, as in the present case with unremarkable medical history and no urogenital abnormalities, there are accessory ovaries that cannot be explained by these etiologies. In such cases, the etiology of accessory ovary might possibly be torsion of functional ovarian cyst during the fetal period or asymptomatic torsion of the functional ovarian cyst at some time after birth.

Keywords: Accessory ovary; asymptomatic torsion; ectopic ovary; fetal functional ovarian cyst; laparoscopic surgery.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Horizontal T2-weighted image showing multiple uterine myoma and normal-sized left ovary behind the uterus. The right ovary cannot be confirmed (b) Urinary tract abnormality was not observed in the drip infusion pyelography
Figure 2
Figure 2
(a) At laparoscopy, 2-cm white structure was adhered to the omentum and right side of the abdominal wall. Macroscopically, the white structure resembled ovarian tissue. (b) The white structure and the scarred ectopic right ovary were connected by 1-mm-wide ligamentous tissue. (c) The left ovary and fallopian tube were normal
Figure 3
Figure 3
Microscopic findings of the white structure. Normal-appearing cortex, corpus albicans, and interspersed follicles were confirmed (HE-stain, ×100)
See this image and copyright information in PMC

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