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  • Title: Unilateral congenital ovarian and partial tubal absence: report of four cases with review of the literature.
    Author: Uckuyu A, Ozcimen EE, Sevinc Ciftci FC.
    Journal: Fertil Steril; 2009 Mar; 91(3):936.e5-8. PubMed ID: 18976994.
    Abstract:
    OBJECTIVE: To present four rare cases of congenital unilateral tubal and ovarian abnormalities with their laparoscopic images. DESIGN: Case report. SETTING: Baskent University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey. PATIENT(S): Three patients with infertility showing abnormality on hysterosalpingography and a fourth patient with acute pelvic pain who were admitted to our clinic. INTERVENTION(S): All four patients underwent laparoscopic surgery. MAIN OUTCOME MEASURE(S): Case 1 showed an absence of a distal tubal segment with ipsilateral ovarian agenesis. Case 2 showed a unilateral partial distal tubal absence with normal adjacent ovary. Case 3 showed a twisted and adherent tube with ipsilateral ovarian absence. Case 4 showed a unilateral ovarian agenesis and contralateral acute adnexal torsion. RESULT(S): We detected four cases of unilateral ovarian and partial tubal absence in these operations. CONCLUSION(S): We present four unusual cases of unilateral ovarian and partial tubal absence. The absence of one ovary and tube may be explained by two possible etiopathogenic causes: asymptomatic adnexial torsion or congenital malformation.
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