Case of Accessory Ovary in the Round Ligament with Associated Endometriosis

The phenomenon of accessory ovary, initially described in 1864, is extremely rare. We report a case of an accessory ovary in a round ligament with endometriosis. At the time of laparoscopy a firm 2- to 3-cm mass was noted within the round ligament with a normal ovary visualized. Dissection and removal of the mass was performed. Histopathology revealed ovarian stroma and dense connective tissue with endometriosis. This case fulfills the criteria established in 1959 for accessory ovary and is the first case of an accessory ovary reported within the round ligament. A unique finding with the accessory ovary in this case is the presence of endometriosis. No reported cases exist of endometriosis within an accessory ovary. This information may be pertinent for evaluation of dysmenorrhea when no endometrial implants are present, or with the persistence or recurrence of endometriosis and pain after a bilateral salpingo-oophorectomy.     

Accessory ovary

A case is reported of an accessory ovary in a 46-year-old woman. Accessory ovaries are frequently small and may therefore be overlooked at laparotomy. The present case was presumably discovered due to gonadotropic hyperstimulation caused by the menopause or the previous bilateral ovarian resection.     

卵巢不敏感综合征

卵巢不敏感综合征（insensitive ovary syndrome）又称卵巢抵抗综合征（resistant ovary syndrome,ROS）或Savage综合征.1967年首次由Murace-Ruehsan证实并命名.临床表现为高促性腺激素低性腺激素性闭经.病理特点为患者卵巢内有许多始基卵泡,少见窦状卵泡,无成熟卵泡,卵巢内呈局灶性或弥漫性透明变性,对高水平的促性腺激素（Gn）缺乏反应.ROS较少见,约占高促性腺激素型闭经的11%～20%。     

'Acute' Residual Ovary Syndrome

Summary: This development of pathology in conserved ovaries is defined as the residual ovary syndrome (ROS). It consists of pelvic pain, pelvic mass, dyspareunia as a single or a cluster of symptoms. It is estimated that at least 5% of patients will develop ROS and require surgery for it following hysterectomy. We describe a case of ROS in a 41-year-old woman who developed an abdominopelvic mass the size of a pregnancy of 24 weeks' gestation within 11 weeks of hysterectomy and right salpingo-oophorectomy. At laparotomy, the mass was found to be a huge benign ovarian cyst measuring 11.5 ± 11.0 ± 14.1 cm. Histology showed benign thick-walled follicular cysts. ROS can occur 'acutely', our case having the shortest latent period of onset ever reported.     

Accessory ovaries with bilateral dermoid cysts

A case of bilateral accessory ovaries with bilateral dermoid cysts is described and discussed. To the best of our knowledge, no such case has been published previously in the literature.     

阴道超声单侧卵巢检查对PCOS诊断准确性的影响

目的:探讨阴道超声仅单侧卵巢检查对多囊卵巢综合征(PCOS)诊断准确性的影响。方法:选择2013年6月至2014年10月阴道超声诊断PCOS患者79例(PCOS组)和同期43例正常对照病例(对照组),计算一致性相关系数(CCC),并对卵巢的窦卵泡计数(AFC)和卵巢体积(OV)进行Bland-Altman法分析。结果:Bland-Altman分析显示,PCOS组左右侧卵巢的AFC和OV平均差分别为0.23(95%CI,-0.65~0.97)和1.68 ml(95%CI,0.37~2.52),对照组分别为0.38(95%CI,-0.17~1.08)和0.63 ml(95%CI,-0.42~1.55)。PCOS组AFC和OV一致性界限范围分别为-14.0~14.4和-15.7~19.1,对照组分别为-7.4~8.2和-8.0~9.2。PCOS组和对照组的左右两侧卵巢AFC和OV的CCC均0.9。22.8%患者仅单侧卵巢出现多囊卵巢形态(PCOM),同时约8.9%PCOS患者仅在单侧卵巢满足PCOM等两项诊断指标。结论:PCOS患者左右侧卵巢超声特征差异较大,阴道超声仅单侧卵巢检查可能会漏诊部分PCOS患者,建议尽可能采用双侧卵巢超声诊断以提高PCOS诊断的准确性。     

年轻宫颈癌患者卵巢移植和卵巢移位术研究

目的 探讨年轻早期子宫颈癌患者卵巢移植和移位手术效果。方法 ２６例中２例行卵巢移植术,２４例行卵巢移位术。结果 卵巢移植者,术后９￣１５个月功能恢复正常。卵巢移位者组,术后未接受放疗的９例患者卵巢功能正常,卵巢功能平均持续６．２４年;１５例术后辅以放疗,１４例保持卵巢功能,卵巢功能平均持续４．５年。     

Accessory cervix: An unusual congenital malformation

A woman with a septate vagina and two cervices was observed. One of the cervices ended blindly. The other cervix communicated with a normal corpus and two normally positioned patent fallopian tubes. Two explanations for the origin of this accessory cervix are offered: (1) that it originated from a fusion failure of the lower portions of the müllerian ducts, and (2) that it arose from the urogenital sinus.     

Accessory fallopian tube. A case report

Accessory fallopian tubes may be found during an evaluation for infertility. The true incidence is unknown but may be as high as 6%. A patient had an ectopic pregnancy in an accessory fallopian tube; its rupture led to emergency surgery. During the next six months, five infertility patients were noted to have accessory fallopian tubes among 100 surgical infertility patients and 398 surgical gynecology patients. The accessory tubes were removed using a microsurgical technique. Three of the five patients had had prior laparoscopy, and their operative reports stated that the pelvis was normal. We suggest a careful evaluation of the pelvis in each patient. If accessory tubes are noted during surgery, one should correct the anatomy to avoid potentially life-threatening situations.