, Volume 10, Issue 1, pp 93-95
Date: 11 Nov 2012

Unilateral ovarian absence

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Introduction

Unilateral ovarian absence (UOA) is a rare event. It has a prevalence of one in 11,240 women [1]. Even rarer is the absence of both the ovary and distal portion of the ipsilateral fallopian tube. It has been suggested that this phenomenon may be a result of a congenital malformation or an ischemic event due to mechanical alterations (e.g., torsion and subsequent resorption of the ovary) that occur during fetal life or childhood [2]. In this case report, we describe a patient with UOA as an unexpected finding during diagnostic laparoscopy for acute pelvic pain.

Case presentation

A 19-year-old female patient G0P0 presented with acute pelvic pain of increasing intensity. Clinical examination revealed right-sided abdominal tenderness with guarding. Her uterus, vagina, and vulva were normal. Her body temperature was normal, there were no urinary or bowel symptoms and she was on day 22 of her menstrual cycle. Her history was unremarkable, and a β-hCG test was negative. A transvagin ...