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OVARIAN IMPLANT: Case reportS. McK, DOB: 21/11/196212/4/96 TAH & LSOconservation of right ovary;for endometriosis;registrars, public hospital.19/8/03 Laparoscopy & division of adhesionsright ovary stuck to sigmoid colon – mobilized;omental adhesions ++;colorectal surgeon, public hospital.4/12/03 Laparoscopy & R.S.O + E2 implantfor ‘residual ovary syndrome’;myself (see images).9/8/05 Laparoscopy & removal of ovarian implantmyself (see images).25/11/05 Insertion of hormone implant- ‘better’
ECTOPIC OVARY1. Blood supply from ovarian vessels:A. Congenital Ectopic Ovaryfailure of descent;no ovary in the adnexum;associated with congenital abnormalities of the uterus; “ “ “ “ “ “ renal tract.B. Accessory Ovarycell ‘rest’ during embryological descent;found anywhere on the path of descent;in presence of normally placed ipsilateral ovary;(true ‘supernumerary ovary’).2. ‘Parasitic’ nutrition:Ovarian Implantattached to bowel or its mesentery or the omentumnot connected to ovarian blood vessels (infundibulo-pelvic fold)
ECTOPIC OVARY1. Blood supply from ovarian vessels:A. Congenital Ectopic Ovaryfailure of descent;no ovary in the adnexum;associated with congenital abnormalities of the uterus; “ “ “ “ “ “ renal tract.B. Accessory Ovarycell ‘rest’ during embryological descent;found anywhere on the path of descent;in presence of normally placed ipsilateral ovary;(true ‘supernumerary ovary’).2. ‘Parasitic’ nutrition:Ovarian Implantusually attached to bowel or its mesentery or the omentum;not connected to ovarian blood vessels (infundibulo-pelvic fold).
OVARIAN REMNANT SYNDROMECAN BE EITHER:1. Surgical (true) remnant:a). incompletely extirpated ovarian tissue;b). still attached to ovarian vascular supply.2. Accessory ovary:Not removed (+/- undetected) at original oophorectomy3. Ovarian Implant? time of grafting