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Case Report
A rare occurrence of ovarian accessory tissue torsion
1 Department of Obstetrics and Gynecology, Wright State University-Boonshoft School of Medicine, Dayton, Ohio, USA
2 Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio, USA
3 Department of Obstetrics and Gynecology, Lifestages OB/GYN-Miami Valley Hospital, Dayton, Ohio, USA
Address correspondence to:
Marilyn Kindig
Department of Obstetrics and Gynecology, Wright State University, Dayton, Ohio,
USA
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Article ID: 100180Z08DS2024
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Schimmoeller D, Langer A, Younglove S, Emmerling S, Kindig M. A rare occurrence of ovarian accessory tissue torsion. J Case Rep Images Obstet Gynecol 2024;10(2):22–25.ABSTRACT
The presence of an accessory ovary is a rare gynecological abnormality with unclear pathophysiology. Ectopic ovarian tissue is typically discovered incidentally during laparoscopy performed for other indications; however, these ovaries can present preoperatively similar to ovarian torsion, cyst rupture, or malignancy, prompting treatment. We present the case of a 42-year-old G2P2 with a four day history of pelvic pain. Pelvic ultrasound and computed tomography (CT) revealed a presumed 4 cm ruptured ovarian cyst. Given her persistent pain and imaging findings, we proceeded with a diagnostic laparoscopy. Intraoperatively, a large amount of edematous and hemorrhagic tissue was noted involving the right fallopian tube, and a right salpingectomy was performed. Further exploration revealed a pedunculated mass originating from a twisted stalk extending from the midline posterior uterine wall into the posterior cul-de-sac. This mass was removed and sent to pathology. There were no intraoperative complications, and the patient recovered well postoperatively. Pathology report concluded that the pelvic mass represented ovarian tissue with hemorrhage. Ectopic ovaries, however rare, can present with acute pathology and should be considered in the differential diagnosis in cases of pelvic masses or pain.
Keywords: Accessory ovary, Ectopic ovary, Ovarian torsion, Pelvic pain, Torsion
SUPPORTING INFORMATION
Author Contributions
Daniele Schimmoeller - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adam Langer - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Samantha Younglove - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Susan Emmerling - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Marilyn Kindig - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Adam Langer et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
