Undescended ovary and fallopian tube presenting as appendiceal mucocele

Keywords:

congenital uterine malformations, ectopic ovary, infertility, uterus unicornis, undescended ovary


Published online: Nov 21 2018

Pieter Sinonquel 1, Julie Bontinck 2, Mariannne Stevens 3

1 UZ Leuven, Department of Internal medicine, Herestraat 49, 3000 Leuven, Belgium.
2 Sint-Jozef Kliniek, Department of general and oncological surgery, Kasteelstraat 23, 2880 Bornem, Belgium.
3 Sint-Jozef Kliniek, Department of gynecology and obstetrics, Kasteelstraat 23, 2880 Bornem, Belgium.

Abstract

Undescended ovary is a rare congenital gynecologic condition, frequently associated with urogenital malformations including unicornuate uterus and ectopic kidneys or renal agenesis. Although ectopic ovaries are mostly found during an infertility work up, its role in infertility is still unknown. We report a 38-year-old patient presenting with pain in the right lower quadrant. Explorative laparoscopy reveals a unicornuate uterus and a malpositioning of the right ovary and distal ending of the right fallopian tube. Through this report, we try to provide hints for guiding the diagnostic management of similar patients in terms of fertility, renal function and tumour formation.