ovarian remnant syndrome


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ovarian remnant syndrome

The finding of a pelvic mass (often in a woman with chronic pelvic pain), in a patient who has previously undergone surgical removal of the ovaries. It results from incomplete oophorectomy and the growth or cystic degeneration of the retained ovarian tissue and can lead to unilateral ureteral obstruction. It can be treated by removal of the tissue using laparoscopy or laparotomy.

ovarian remnant syndrome

Persistent pelvic pain, either constant or cyclical, occurring within five years after surgery for removal of the womb and both ovaries. The amount of residual ovarian tissue may be very small but an estimation of pituitary follicle-stimulating hormone may show the presence of functioning ovarian tissue. Treatment is by surgery, which may be technically difficult because of residual adhesions. There is a risk of damage to ureters or bladder.
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-- Patients with ovarian remnant syndrome can be effectively treated laparoscopically based on the findings of a 26-patient series
"Ovarian remnant syndrome is a rare occurrence and most surgeons would recommend managing it by laparotomy because you're dealing with extensive adhesions.
Once it's been decided to scope a patient again, be aware that even patients who have had an oophorectomy can experience pain from ovarian remnant syndrome or extragonadal endometriosis, Dr.