WANDERING OVARY
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WANDERING OVARY. DR. J.CHITRA M.D , DGO, D.NB ASST PROFESSOR KANYAKUMARI GOVT MEDICAL COLLEGE. Clinical history. 24 years old young unmarried girl Acute abdominal pain for 4 days Attained menarche 14 th year Periods once in 2 months / 3 days Painless, scanty periods.

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WANDERING OVARY

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Wandering ovary

WANDERING OVARY

DR. J.CHITRA M.D , DGO, D.NB

ASST PROFESSOR

KANYAKUMARI GOVT MEDICAL COLLEGE


Wandering ovary

Clinical history

  • 24 years old young unmarried girl

  • Acute abdominal pain for 4 days

  • Attained menarche 14th year

  • Periods once in 2 months / 3 days

  • Painless, scanty periods


Wandering ovary

Previous history

  • 1 year back, was treated for the same acute abdominal pain elsewhere.

  • Diagnosed as bilateral multiloculated ovarian cysts

  • Advised surgery- she refused

  • Treated conservatively

  • She was symptom free for one year


Wandering ovary

Scan report

  • Scan taken on 5.10.04

  • Rt.Ovary 12x12cm Cystic, multilocular, thin walled

  • Lt Ovary 11x12 cm, cystic


Wandering ovary

CLINICAL EXAMINATION

  • O/E - P/A no mass palpable

  • P/R - Cystic, tender mass felt occupying the pouch of

    Douglas

  • Routine investigations normal

  • Ultrasonagram

  • Uterus normal

  • right ovarian cyst –multi loculated 12 x 12 cm

  • Left ovary –not visualized


Wandering ovary

LAPAROSCOPY FINDINGS

  • Right Ovary

  • Twisted

  • Cystic, Multilocular

  • Variable in size

  • Thin walled


Wandering ovary

Procedure on Right ovarian cyst

  • Untwisting of the ovarian cyst done

  • Cystectomy done

  • Remaining ovarian tissue left out

LEFT OVARY NOT SEEN AT

ITS SITE


Wandering ovary

Amputated site of left ovary

OVARY

ATTACHED TO OMENTUM


Wandering ovary

WANDERING OVARY

  • Normal looking ovary ,3.5 cm x 3 cm x 2 cm in size, seen attached to omentum

  • Feeding vessels are seen from omentum


Wandering ovary

Procedure on Right ovarian cyst

  • Untwisting of the ovarian cyst done

  • Cystectomy done

  • Remaining ovarian tissue left out

LEFT OVARY NOT SEEN AT

ITS SITE


Wandering ovary

  • HPE SIMPLE SEROUS CYST RIGHT OVARIAN CYST

  • AMPUTED OVARIAN BIOPSY CONFIRMED OVARIAN TISSUE – HPE


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FOLLOW UP

  • REGULAR MENSTRUATION

STARTED AFTER THREE MONTHS

  • AFTER ONE YEAR ULTRA SOUND

REVEALED NORMAL UTERUS.

RIGHT OVARY 4 x 3cms

LEFT OVARY NOT SEEN

  • NO OTHER CYSTIC MASS SEEN

  • PLAIN X-RAY – NO CALCIFICATION

    NOTED


Wandering ovary

THANK YOU

THANK YOU


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