WANDERING OVARY DR J CHITRA M D DGO

WANDERING OVARY DR. J. CHITRA M. D , DGO, D. NB ASST PROFESSOR KANYAKUMARI GOVT MEDICAL COLLEGE

Clinical history o o o 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

Previous history 1 year back, was treated for the same acute abdominal pain elsewhere. n Diagnosed as bilateral multiloculated ovarian cysts n Advised surgery- she refused n Treated conservatively n She was symptom free for one year n

Scan report n n n Scan taken on 5. 10. 04 Rt. Ovary 12 x 12 cm Cystic, multilocular, thin walled Lt Ovary 11 x 12 cm, cystic

CLINICAL EXAMINATION n O/E - P/A no mass palpable P/R - Cystic, tender mass felt occupying the pouch of Douglas n Routine investigations normal n Ultrasonagram n Uterus normal n n n right ovarian cyst –multi loculated 12 x 12 cm Left ovary –not visualized

LAPAROSCOPY FINDINGS q Right Ovary q Twisted q Cystic, Multilocular q Variable in size q Thin walled

Procedure on Right ovarian cyst n n n Untwisting of the ovarian cyst done Cystectomy done Remaining ovarian tissue left out LEFT OVARY NOT SEEN AT ITS SITE

Amputated site of left ovary OVARY ATTACHED TO OMENTUM

WANDERING OVARY n Normal looking ovary , 3. 5 cm x 3 cm x 2 cm in size, seen attached to omentum n Feeding vessels are seen from omentum

Procedure on Right ovarian cyst n n n Untwisting of the ovarian cyst done Cystectomy done Remaining ovarian tissue left out LEFT OVARY NOT SEEN AT ITS SITE

HPE SIMPLE SEROUS CYST RIGHT OVARIAN CYST n AMPUTED OVARIAN BIOPSY CONFIRMED OVARIAN TISSUE – HPE n

FOLLOW UP n REGULAR MENSTRUATION STARTED AFTER THREE MONTHS n AFTER ONE YEAR ULTRA SOUND REVEALED NORMAL UTERUS. RIGHT OVARY 4 x 3 cms LEFT OVARY NOT SEEN NO OTHER CYSTIC MASS SEEN §PLAIN X-RAY – NO CALCIFICATION NOTED

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