Archives of Gynecology and Obstetrics

, Volume 280, Issue 5, pp 849–850 | Cite as

Unilateral ovarian and fallopian tube agenesis

  • Giusi Rapisarda
  • Elisa Maria Pappalardo
  • Anna Arancio
  • Michele La Greca
Case Report



The unilateral agenesis of the ovary and fallopian tube is an extremely uncommon event with only few cases described in literature.

Case report

Here, we report a case of a 30-year-old woman admitted to our Unit for increasing pelvic pain. In the suspect of a corpus luteum hemorrhage, we performed a laparoscopy identifying the rare anomaly.


Together with the predisposing genetic and/or environmental factor not yet discovered, two are the hypotheses explaining the absence of one or both the adnexes, the mechanical hypothesis, i.e., the asymptomatic torsion of both Fallopian tube and ovary with consequent organs’ ischemia and atresia and the embryological hypothesis, i.e., the congenital absence of the adnexes.


Unilateral agenesis Ovary Fallopian tube 


Conflict of interest statement



  1. 1.
    Mylonas I, Hansch S, Markmann S, Bolz M, Friese K (2003) Unilateral ovarian agenesis: report of three cases and review of the literature. Arch Gynecol Obstet 268:57–60. doi: 10.1007/s00404-003-0526-5 PubMedCrossRefGoogle Scholar
  2. 2.
    Paternoster DM, Costantini W, Uglietti A, Vasile C, Bocconi L (1998) Congenital or torsion-induced absence of fallopian tubes. Two case reports. Minerva Ginecol 50:191–194PubMedGoogle Scholar
  3. 3.
    Eustace DL (1992) Congenital absence of fallopian tube and ovary. Eur J Obstet Gynecol Reprod Biol 46:157–159. doi: 10.1016/0028-2243(92)90263-X PubMedCrossRefGoogle Scholar
  4. 4.
    Sivanesaratnam V (1986) Unexplained unilateral absence of ovary and fallopian tube. Eur J Obstet Gynecol Reprod Biol 22:103–105. doi: 10.1016/0028-2243(86)90096-1 PubMedCrossRefGoogle Scholar
  5. 5.
    Silva PD, Glasser KE, Virata RL (1995) Spontaneously acquired, unilateral absence of the adnexa. A case report. J Reprod Med 40:63–64PubMedGoogle Scholar
  6. 6.
    Krissi H, Shalev J, Bar-Hava I, Langer R, Herman A, Kaplan B (2001) Fallopian tube torsion: laparoscopic evaluation and treatment of a rare gynecological entity. J Am Board Family Pract 14:274–277Google Scholar
  7. 7.
    Dueck A, Poenaru D, Jamieson MA, Kamal IK (2001) Unilateral ovarian agenesis and fallopian tube maldescent. Pediatr Surg Int 17:228–229. doi: 10.1007/s003830000413 PubMedCrossRefGoogle Scholar
  8. 8.
    Zaitoon MM, Florentin H (1982) Crossed renal ectopia with unilateral agenesis of fallopian tube and ovary. J Urol 128:111PubMedGoogle Scholar
  9. 9.
    Muppala H, Sengupta S, Martin JE (2008) Unilateral absence of tube and ovary with renal agenesis and associated pyloric stenosis: communication. Eur J Obstet Gynecol Reprod Biol 137:123. doi: 10.1016/j.ejogrb.2006.11.009 PubMedCrossRefGoogle Scholar
  10. 10.
    Dare FO, Makinde OO, Makinde ON, Odutayo R (1989) Congenital absence of an ovary in a Nigerian woman. Int J Gynaecol Obstet 29:377–378. doi: 10.1016/0020-7292(89)90364-0 PubMedCrossRefGoogle Scholar
  11. 11.
    Georgy FM, Viechnicki MB (1974) Absence of an ovary and uterine tube. Obstet Gynecol 44:441–442PubMedGoogle Scholar
  12. 12.
    Sirisena LA (1978) Unexplained absence of an ovary and uterine tube. Postgrad Med J 54:423–424. doi: 10.1136/pgmj.54.632.423 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Giusi Rapisarda
    • 1
  • Elisa Maria Pappalardo
    • 1
  • Anna Arancio
    • 1
  • Michele La Greca
    • 1
  1. 1.Department of Gynecology and ObstetricsARNAS, Garibaldi Nesima HospitalCataniaItaly

Personalised recommendations