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Ota K, Takahashi T, Ajiro Y, Nohara S, Shuno Y, Kamiyama H, Kobayashi T. Unilateral Ovarian Hypoplasia with Ipsilateral Fallopian Tube Hypoplasia. J Minim Invasive Gynecol 2023; 30:685-686. [PMID: 37209946 DOI: 10.1016/j.jmig.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 05/11/2023] [Indexed: 05/22/2023]
Affiliation(s)
- Kuniaki Ota
- Department of Obstetrics and Gynecology (Dr. Ota), Tokyo Rosai Hospital, Tokyo, Japan; Fukushima Medical Center for Children and Women (Drs. Ota and Takahashi), Fukushima Medical University, Fukushima, Japan
| | - Toshifumi Takahashi
- Fukushima Medical Center for Children and Women (Drs. Ota and Takahashi), Fukushima Medical University, Fukushima, Japan.
| | - Yoshiki Ajiro
- Department of Surgery (Drs. Ajiro, Nohara, Shuno, Kamiyama, and Kobayashi), Tokyo Rosai Hospital, Tokyo, Japan
| | - Shigeo Nohara
- Department of Surgery (Drs. Ajiro, Nohara, Shuno, Kamiyama, and Kobayashi), Tokyo Rosai Hospital, Tokyo, Japan
| | - Yasutaka Shuno
- Department of Surgery (Drs. Ajiro, Nohara, Shuno, Kamiyama, and Kobayashi), Tokyo Rosai Hospital, Tokyo, Japan
| | - Hirohiko Kamiyama
- Department of Surgery (Drs. Ajiro, Nohara, Shuno, Kamiyama, and Kobayashi), Tokyo Rosai Hospital, Tokyo, Japan
| | - Takashi Kobayashi
- Department of Surgery (Drs. Ajiro, Nohara, Shuno, Kamiyama, and Kobayashi), Tokyo Rosai Hospital, Tokyo, Japan
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Chen HA, Grimshaw AA, Taylor-Giorlando M, Vijayakumar P, Li D, Margetts M, Pelosi E, Vash-Margita A. Ovarian absence: a systematic literature review and case series report. J Ovarian Res 2023; 16:13. [PMID: 36642704 PMCID: PMC9841619 DOI: 10.1186/s13048-022-01090-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 12/24/2022] [Indexed: 01/17/2023] Open
Abstract
Ovarian absence is an uncommon condition that most frequently presents unilaterally. Several etiologies for the condition have been proposed, including torsion, vascular accident, and embryological defect. A systematic review was conducted to describe the clinical presentation of ovarian absence, as well as its associations with other congenital anomalies, through a systematic search of Cochrane Library, ClinicalTrials.gov, Google Scholar, Ovid Embase, Ovid Medline, PubMed, Scopus, and Web of Science. Exclusion criteria included cases with suspicion for Differences of Sex Development, lack of surgically-confirmed ovarian absence, and karyotypes other than 46XX. Our search yielded 12,120 citations, of which 79 studies were included. 10 additional studies were found by citation chasing resulting in a total 113 cases including two unpublished cases presented in this review. Abdominal/pelvic pain (30%) and infertility/subfertility (19%) were the most frequent presentations. Ovarian abnormalities were not noted in 28% of cases with pre-operative ovarian imaging results. Approximately 17% of cases had concomitant uterine abnormalities, while 22% had renal abnormalities. Renal abnormalities were more likely in patients with uterine abnormalities (p < 0.005). Torsion or vascular etiology was the most frequently suspected etiology of ovarian absence (52%), followed by indeterminate (27%) and embryologic etiology (21%). Most cases of ovarian absence are likely attributable to torsion or vascular accidents, despite many references to the condition as "agenesis" in the literature. Imaging may fail to correctly diagnose ovarian absence, and diagnostic laparoscopy may be preferable in many cases as genitourinary anatomy and fertility considerations can be assessed during the procedure. Fertility is likely minimally or not affected in women with unilateral ovarian absence.
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Affiliation(s)
| | - Alyssa A Grimshaw
- Yale University, Harvey Cushing/John Hay Whitney Medical Library, New Haven, CT, USA
| | | | - Pavithra Vijayakumar
- Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, USA
| | - Dan Li
- Yale University School of Medicine, New Haven, CT, USA
| | - Miranda Margetts
- Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA
| | - Emanuele Pelosi
- Centre for Clinical Research, The University of Queensland, Brisbane, QLD, 4072, Australia
| | - Alla Vash-Margita
- Department of Obstetrics, Gynecology and Reproductive Sciences, Yale New Haven Hospital, New Haven, CT, USA.
- Yale Department of Obstetrics, Gynecology & Reproductive Medicine, Farnam Memorial Building, 310 Cedar Street, Fl 3, Rm 329, New Haven, CT, 06510, USA.
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Machairiotis N, Variawa R, Arnaoutoglou C, Zarogoulidis P, Disu S. Unilateral ovarian agenesis with ipsilateral tubal presence - report of a case. Horm Mol Biol Clin Investig 2023:hmbci-2022-0068. [PMID: 36593126 DOI: 10.1515/hmbci-2022-0068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Accepted: 12/07/2022] [Indexed: 01/04/2023]
Abstract
OBJECTIVES Isolated ovarian agenesis in the absence of Mullerian duct anomalies are rare events which are usually discovered after menarche and incidentally in the context of an intervention for other indications, such as laparoscopy or assisted reproduction techniques. CASE PRESENTATION We hereby present a case of unilateral ovarian agenesis in the presence of the ipsilateral fallopian tube. CONCLUSIONS Older studies had reported an incidence of true congenital unilateral ovarian agenesis to be 1 in 11,241 females Sivanesaratnam V. Unexplained unilateral absence of ovary and fallopian tube. Eur J Obstet Gynecol Reprod Biol 1986;22:103-5, but this is likely an understatement given the increase of relevant literature in recent years and the frequency of laparoscopy nowadays.
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Affiliation(s)
| | - Rita Variawa
- Independent Pharmacovigilance (Evaluation & Risk Management) Scientist, London, UK
| | - Christos Arnaoutoglou
- 1st Department of Obstetrics & Gynecology, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Paul Zarogoulidis
- Pulmonary Department, General Clinic Euromedica, Thessaloniki, Greece
| | - Stewart Disu
- Endometriosis Centre, London North West University Healthcare NHS Trust, Harrow, UK
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Alsina JL, Khamvongsa P. Incidental Finding of Unilateral Ovarian and Fallopian Tube Agenesis During Cesarean Delivery in Patient With Recurrent Pregnancy Loss. Cureus 2021; 13:e12769. [PMID: 33614358 PMCID: PMC7888686 DOI: 10.7759/cureus.12769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Congenital unilateral agenesis of the ovary and fallopian tube is a rare condition that has been previously described in the literature. While this condition is benign, studies have proposed it could be associated with infertility. The purpose of this report is first to highlight a rare incidental finding of unilateral ovarian and fallopian tube agenesis. Secondly, we aim to discuss the various imaging modalities used for the detection of uterine, ovarian, and fallopian tube defects and their shortcomings. Our case describes a 37-year-old G4P0030 woman with an obstetric history of spontaneous abortion and ectopic pregnancy, presenting at 38 weeks gestational age with polyhydramnios. The patient received routine obstetric care with no abnormalities being reported on routine ultrasonography. Elective cesarean section was performed at which time the incidental condition discovery of unilateral agenesis of the right ovary and fallopian tube was made. This case is unique since the incidental diagnosis of unilateral right ovarian and right fallopian tube agenesis occurred during cesarean delivery instead of through imaging. It is important for patient counseling to understand the typical workup and deficiencies in pelvic imaging concerning congenital anomalies
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Affiliation(s)
- Jorge L Alsina
- Obstetrics and Gynecology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA
| | - Peter Khamvongsa
- Obstetrics and Gynecology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA
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Gupta N, Nigam A, Tripathi R, De A. Unilateral tubo-ovarian agenesis with contralateral adnexal torsion in a premenarchal girl. BMJ Case Rep 2018; 2018:bcr-2017-224157. [PMID: 29735499 DOI: 10.1136/bcr-2017-224157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Unilateral adnexal agenesis is a rare entity. Most of these cases are reported in reproductive age group. A case of a 10-year-old premenarchal girl is reported who presented with acute abdominal pain and vomiting. BothUltrasonography (USG) and MRI suggested right ovarian mass with torsion. Laparoscopic evaluation revealed an enlarged right ovary with torsion and contralateral agenesis of uterine tube and left ovary. Detortion of the ovary and an ovarian fixation to the ovarian pedicle was done. This is the first reported case of a premenarchal girl presenting with an acute abdomen due to adnexal torsion along with contralateral tubo-ovarian agenesis.
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Affiliation(s)
- Nidhi Gupta
- Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India
| | - Aruna Nigam
- Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India
| | - Reva Tripathi
- Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India
| | - Arpita De
- Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India
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Lopes GP, Brito AB, Santos RR, Domingues SFS, Paim FP, Queiroz HL. Unilateral ovarian absence in a Black-headed Squirrel Monkey (Saimiri vanzolinii Ayres, 1985), a threatened neotropical primate species. J Med Primatol 2017; 46:87-89. [PMID: 28349553 DOI: 10.1111/jmp.12263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2017] [Indexed: 11/29/2022]
Abstract
Ovarian agenesis is an unusual anomaly with traumatic or congenital origin. In the present case report, we describe our findings in a senile S. vanzolinii female. As this neotropical primate species is listed as vulnerable, with limited geographic distribution in the Brazilian Amazonia, ovarian agenesis may be an important finding to be reported.
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Affiliation(s)
- Gerson P Lopes
- Laboratory of Amazon Animal Biotechnology and Medicine, Federal University of Pará, Castanhal, PA, Brazil.,Mamirauá Institute for Sustainable Development, Tefé, AM, Brazil
| | - Adriel B Brito
- Laboratory of Amazon Animal Biotechnology and Medicine, Federal University of Pará, Castanhal, PA, Brazil
| | - Regiane R Santos
- Laboratory of Amazon Animal Biotechnology and Medicine, Federal University of Pará, Castanhal, PA, Brazil
| | - Sheyla F S Domingues
- Laboratory of Amazon Animal Biotechnology and Medicine, Federal University of Pará, Castanhal, PA, Brazil
| | - Fernanda P Paim
- Mamirauá Institute for Sustainable Development, Tefé, AM, Brazil.,Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Helder L Queiroz
- Laboratory of Amazon Animal Biotechnology and Medicine, Federal University of Pará, Castanhal, PA, Brazil.,Mamirauá Institute for Sustainable Development, Tefé, AM, Brazil
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Bañuelos Martínez I, Briones Lara E. Agenesia ovárica unilateral y malformaciones fetales en una mujer embarazada con síndrome de hiperinmunoglobulinemia E. Clínica e Investigación en Ginecología y Obstetricia 2016; 43:138-41. [DOI: 10.1016/j.gine.2015.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Chen B, Yang C, Sahebally Z, Jin H. Unilateral ovarian and fallopian tube agenesis in an infertile patient with a normal uterus. Exp Ther Med 2014; 8:831-835. [PMID: 25120609 PMCID: PMC4113523 DOI: 10.3892/etm.2014.1825] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Accepted: 06/13/2014] [Indexed: 12/02/2022] Open
Abstract
Congenital agenesis of the unilateral adnexa is a condition that has rarely been described in the literature. The current study presents the case of a 26-year-old female who was admitted to the Department of Gynecology at the Women’s Hospital of Zhejiang University (Hangzhou, Zhejiang) for primary infertility. The patient was diagnosed with unilateral ovarian and fallopian tubal agenesis, without malformations of the uterus and urinary tract, during diagnostic laparoscopy and hysteroscopy. A literature review was conducted with the aim of determining the possible causes of these anomalies. However, the etiology of the adnexal anomaly remained unclear, although torsion or congenital defects were the most likely explanation. Therefore, the observations of the present study indicate that contralateral tubal pathologies may contribute to sterility.
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Affiliation(s)
- Bingya Chen
- Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China
| | - Chunbo Yang
- Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China
| | - Zayd Sahebally
- Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China
| | - Hangmei Jin
- Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, P.R. China
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Vaiarelli A, Luk J, Patrizio P. Ectopic pregnancy after IVF in a patient with unilateral agenesis of the fallopian tube and ovary and with endometriosis: search of the literature for these associations. J Assist Reprod Genet 2012; 29:901-4. [PMID: 22695747 DOI: 10.1007/s10815-012-9819-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Accepted: 06/05/2012] [Indexed: 10/28/2022] Open
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Pabuccu E, Kahraman K, Taskın S, Atabekoglu C. Unilateral absence of fallopian tube and ovary in an infertile patient. Fertil Steril 2011; 96:e55-7. [DOI: 10.1016/j.fertnstert.2011.04.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2011] [Accepted: 04/07/2011] [Indexed: 10/18/2022]
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Uckuyu A, Ozcimen EE, Sevinc Ciftci FC. Unilateral congenital ovarian and partial tubal absence: Report of four cases with review of the literature. Fertil Steril 2009; 91:936.e5-8. [DOI: 10.1016/j.fertnstert.2008.09.022] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2008] [Revised: 08/30/2008] [Accepted: 09/04/2008] [Indexed: 10/21/2022]
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12
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Gambadauro P, Campo V, Campo S. Spontaneous pregnancy following multiple laparoscopic myomectomy in a sterile patient with unilateral ovarian agenesis. Eur J Obstet Gynecol Reprod Biol 2005; 118:270-1. [PMID: 15653222 DOI: 10.1016/j.ejogrb.2004.05.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2004] [Indexed: 11/16/2022]
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