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• W2124304989 abstract "Ectopic locations of the ovary are rare, but should be considered when an ovary is absent on traditional imaging studies. The images presented are of a patient with recurrent pregnancy loss and infertility. Of note, she also had a corrected tetralogy of Fallot and normal karyotype. Hysterosalpingogram revealed a right unicornuate uterus with the presence and patency of only the right fallopian tube. Magnetic resonance imaging showed an absent left kidney and ovary and a left inguinal hernia. The left ovary was discovered on the seventh day of ovarian stimulation for in vitro fertilization when a mass was seen in the inguinal region (Fig. 1) with follicles visualized by transabdominal ultrasound. The risk of ovarian torsion was discussed with the patient who elected to continue the cycle. Oocyte retrieval was performed from the right ovary transvaginally. Then, using a transvaginal ultrasound probe with needle guide (FIGURE 2, FIGURE 3), the needle was advanced percutaneously through the abdominal wall into the inguinal ovary allowing aspiration of normal-appearing oocytes.FIGURE 3Ultrasound image of follicle aspiration using needle guide markings.Show full captionHinckley. Ovary retrieval from inguinal ovary.Fertil Steril 2003.View Large Image Figure ViewerDownload (PPT) Hinckley. Ovary retrieval from inguinal ovary.Fertil Steril 2003. The patient did not conceive with the fresh transfer of a single blastocyst but conceived after a thaw transfer of a single embryo and delivered a healthy female at 34 weeks’ gestation. She plans to undergo corrective surgery to repair the inguinal hernia and reposition the ovary into the pelvic cavity. Current research indicates that genetic aberrations (1Adham I.M. Steding G. Thamm T. Bullesbach E.E. Schwabe C. Paprotta I. et al.The overexpression of the insl3 in female mice causes descent of the ovaries.Mol Endocrinol. 2002; 16: 244-252Crossref PubMed Scopus (100) Google Scholar) and an altered hormonal milieu (1Adham I.M. Steding G. Thamm T. Bullesbach E.E. Schwabe C. Paprotta I. et al.The overexpression of the insl3 in female mice causes descent of the ovaries.Mol Endocrinol. 2002; 16: 244-252Crossref PubMed Scopus (100) Google Scholar, 2Ozbey H. Ratschek M. Schimpl G. Hollwarth M.E. Ovary in hernia sac prolapsed or descended gonad?.J Pediatr Surg. 1999; 34: 977-980Abstract Full Text PDF PubMed Scopus (29) Google Scholar) may contribute to an inguinal ovary. Care must be taken to avoid ovarian torsion, as this appears to be the primary mechanism responsible for ovarian damage in irreducible hernias (3Boley S.J. Cahn D. Lauer T. Weinberg G. Kleinhaus S. The irreducible ovary a true emergency.J Pediatr Surg. 1991; 26: 1035-1038Abstract Full Text PDF PubMed Scopus (71) Google Scholar, 4Merriman T.E. Auldist A.W. Ovarian torsion in inguinal hernias.Pediatr Surg Int. 2000; 16: 383-385Crossref PubMed Scopus (51) Google Scholar). The recommended management is to undergo an operative repair, preferably laparoscopically, of the irreducible inguinal ovary on an elective basis to prevent ovarian torsion (3Boley S.J. Cahn D. Lauer T. Weinberg G. Kleinhaus S. The irreducible ovary a true emergency.J Pediatr Surg. 1991; 26: 1035-1038Abstract Full Text PDF PubMed Scopus (71) Google Scholar, 4Merriman T.E. Auldist A.W. Ovarian torsion in inguinal hernias.Pediatr Surg Int. 2000; 16: 383-385Crossref PubMed Scopus (51) Google Scholar)." @default.
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• W2124304989 date "2003-08-01" @default.
• W2124304989 modified "2023-09-30" @default.
• W2124304989 title "Percutaneous oocyte retrieval from an inguinal ovary" @default.
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• W2124304989 doi "https://doi.org/10.1016/s0015-0282(03)00668-x" @default.
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