True Ectopia of Right Ovary With Ipsilateral Renal Agenesis

Abstract

True ectopia of ovarian tissue is a clinical entity which is rarely encountered by the gynecologists. The present report describes a case of true ectopic ovary accompanied with ipsilateral renal agenesis with a review of related literature. A 34-year-old woman was admitted to the department of emergency with abdominal pain localized in the right lower quadrant. The routine tests showed no abnormalities except mild thrombocytosis. The requested abdominal ECHO examination discovered the agenesis of the right kidney joined by consecutive hypertrophy of the left one. And finally, the MRI examination of the abdomen and pelvis confirmed the abovementioned findings and showed another congenital anomaly - the retrocecal position of the right ovary that was consistent with true ovarian ectopic. Association with ipsilateral renal agenesis is indicative of common anomaly originating from urogenital ridge. Physiologic follicles in the right ovary were also noticed as well as two small cysts posterior to ascending colon (separate from ovary). The latest ones were considered as paraovarian cysts or cysts in small surrounding ovarian tissue. We present an extremely rare case of ipsilateral ovarian ectopia and renal agenesis concomitantly. The true ectopic ovary was mimicking some of the symptoms of acute appendicitis. And finally, we provide hints that will help in guiding the management of similar cases.




J Med Cases. 2016;7(9):373-375
doi: http://dx.doi.org/10.14740/jmc2494w