Document Detail


Ovarian maldescent.
MedLine Citation:
PMID:  8557139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe and assess the incidence and impact of ovarian maldescent in infertile women. DESIGN: Observational clinical study. SETTING: Referral infertility practice. PATIENTS: Women undergoing operative intervention as part of infertility evaluation or treatment. INTERVENTIONS: Anatomic observation at laparoscopy or laparotomy. RESULTS: Failure of the gonad to descend into the true pelvis occurred in 5 of 2,025 operative observations of patients evaluated and treated for infertility. Inappropriate descent of the ovary is associated with a short infundibulopelvic ligament and attachment of the superior pole of the ovary above the pelvic brim adjacent to the fimbriated end of an elongated, ipsilateral fallopian tube. It may be bilateral or unilateral and sometimes is associated with Mullerian duct abnormalities. CONCLUSIONS: The incidence of ovarian maldescent is low, its relationship to infertility is unclear, and it does not necessarily preclude conception when other infertility factors are recognized and treated. Its rarity and altered anatomy has the potential for therapeutic misadventure at laparoscopy, laparotomy, and IVF oocyte retrieval.
Authors:
B S Verkauf; M A Bernhisel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  65     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1996 Jan 
Date Detail:
Created Date:  1996-02-27     Completed Date:  1996-02-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  189-92     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Laparoscopy
Laparotomy
Ovary / abnormalities*

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