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Ovarian Implant Case Report: Surgical Interventions and Syndromes

This case report details multiple surgical interventions for an ovarian implant, including laparoscopy procedures and the removal of an ovarian implant. The text discusses residual ovary syndrome, ectopic ovaries, and ovarian remnant syndrome, highlighting complexities in managing such conditions. The report also mentions the insertion of a hormone implant for treatment. The patient underwent procedures at a public hospital under the care of various specialists, including colorectal surgeons. Images of the surgeries are referenced in the report.

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Ovarian Implant Case Report: Surgical Interventions and Syndromes

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  1. OVARIAN IMPLANT: Case reportS. McK, DOB: 21/11/196212/4/96 TAH & LSOconservation of right ovary;for endometriosis;registrars, public hospital.19/8/03 Laparoscopy & division of adhesionsright ovary stuck to sigmoid colon – mobilized;omental adhesions ++;colorectal surgeon, public hospital.4/12/03 Laparoscopy & R.S.O + E2 implantfor ‘residual ovary syndrome’;myself (see images).9/8/05 Laparoscopy & removal of ovarian implantmyself (see images).25/11/05 Insertion of hormone implant- ‘better’

  2. Dec 2003: Residual ovary synd.

  3. Dec 2003: Residual ovary synd.

  4. August 2005 Ovarian Implant Synd.

  5. Corpus luteum

  6. Ovarian cortex & primordial follicle

  7. Corpus luteum & pericolic fat

  8. back to Dec. 2003

  9. August 2005

  10. August 2005

  11. ECTOPIC OVARY1. Blood supply from ovarian vessels:A. Congenital Ectopic Ovaryfailure of descent;no ovary in the adnexum;associated with congenital abnormalities of the uterus; “ “ “ “ “ “ renal tract.B. Accessory Ovarycell ‘rest’ during embryological descent;found anywhere on the path of descent;in presence of normally placed ipsilateral ovary;(true ‘supernumerary ovary’).2. ‘Parasitic’ nutrition:Ovarian Implantattached to bowel or its mesentery or the omentumnot connected to ovarian blood vessels (infundibulo-pelvic fold)

  12. ECTOPIC OVARY1. Blood supply from ovarian vessels:A. Congenital Ectopic Ovaryfailure of descent;no ovary in the adnexum;associated with congenital abnormalities of the uterus; “ “ “ “ “ “ renal tract.B. Accessory Ovarycell ‘rest’ during embryological descent;found anywhere on the path of descent;in presence of normally placed ipsilateral ovary;(true ‘supernumerary ovary’).2. ‘Parasitic’ nutrition:Ovarian Implantusually attached to bowel or its mesentery or the omentum;not connected to ovarian blood vessels (infundibulo-pelvic fold).

  13. OVARIAN REMNANT SYNDROMECAN BE EITHER:1. Surgical (true) remnant:a). incompletely extirpated ovarian tissue;b). still attached to ovarian vascular supply.2. Accessory ovary:Not removed (+/- undetected) at original oophorectomy3. Ovarian Implant? time of grafting

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