Two of them needed subtotal hysterectomy, two needed bilateral hypogastric artery ligation and one needed bilateral utero-ovarian
Separation of the fallopian tube before clamping the 'utero-ovarian
It is hypothesised that non-target embolisation causes hypoxia to the ovarian cortex, resulting in loss of AMH-secreting small antral and pre-antral follicles that are sensitive to reduced tissue oxygen tension. This is likely the case in women with utero-ovarian
anastomosis, since embolic material has been recovered from ovarian biopsy following UAE.
A subserous pediculated fibroid of 25 mm in the posterior wall of the uterus, close to the utero-ovarian
right ligament, was easily removed.
Rupture of the external iliac artery, utero-ovarian
artery and uterine artery, regardless of the site of rupture, may lead to direct hemorrhage into the peritoneal cavity, with rapid and profound blood loss, which can result in hypovolemic shock and death.
Notably, it has been suggested that endometriosis-related SHiP could be caused by spontaneous rupture of utero-ovarian
vessels or bleeding endometriosis implants. This may be attributed to three factors: (1) utero-ovarian
vessels are more friable due to chronic inflammations associated with endometriosis; (2) adhesions in combination with enlargement of the uterus during pregnancy can place these vessels under greater tension; and (3) decidualization of endometriotic lesions during pregnancy may cause utero-ovarian
Hemorrhage from ruptured utero-ovarian
veins during pregnancy; report of 3 cases and review of literature.
GnRH-agonists cause a suppression of the pituitary function and secretion of gonadotropins, and decrease utero-ovarian
perfusion, so it is considered that these mechanisms can protect the deterioration of ovarian reserve.
When OT occurs, the ovary typically rotates around both the infundibulopelvic ligament and the utero-ovarian
However, in agreement with other authors [12,13], we perform systematic oophoropexy in cases of recurrent torsion, excessive length of utero-ovarian
ligament, torsion of a solitary adnexa, or contralateral pexy in case of adnexectomy of the twisted adnexa.
Occluding the utero-ovarian
ligaments with bulldog clamps to control collateral blood flow from the ovarian artery has been described, but the clamps can tear these often enlarged and fragile uterine veins during manipulation of the uterus.
Despite an attentive search, no ovarian remnant, pedicle or utero-ovarian
ligament was identified.