Fregoso-García MC, Campomanes-Azamar RD, Rodríguez-Chávez JL, Madrigal-Rodríguez VM, Bañuelos-Franco A

Language: Spanish
References: 16
Page: 722-727
PDF size: 374.86 Kb.

ABSTRACT

Background: The ovaries accessories, ectopic and supernumerary represent a rare gynecological disorder; incidence ranges from 1 29,000 to 1: 700,000 cases.
Clinic case: Patient 55 years of age who arrived at by diffuse abdominal pain 2 weeks of evolution, nausea and vomiting, with no history of chronic degenerative diseases or surgical. Palpation abdomen soft depressible globoso palpable mass at the expense of 30x20 cm, painless to superficial and deep pressure. Bimanual: anteversoflexion uterus 9 cm, 20 cm tumor, soft, fixed, mild pain in the cervical mobilization funds free bag. Laboratory tests and tumor markers for ovarian unchanged. The abdominopelvic ultrasound ecomixta reported prodomain cystic mass of 28x13x26 cm, volume 5,470 mL, with papillary projections, septa and caps 6 mm thick. Contrasted abdominal tomography: nodular image of 20 cm, heterogeneous, predominantly cystic, with septa, uptake of contrast medium in the pelvic cavity of probable ovarian origin. laparotomy was performed and found: 8 cm uterus, normal, both atrophic ovaries; 30x20 cm tumor, smooth edges, with neovascularization and areas of calcification with serous content of 5,000 cc, attached to the handles of the jejunum and ileum; transverse colon, back and tail of the pancreas; It was dissected into the retroperitoneum and great vessels, apparent root of the prevertebral fascia.
Conclusion: The supernumerary ovary is an extremely rare disorder, but should be considered in patients with abdominal tumors.

REFERENCES

1. Vendeland LL, Shehadeh L. Indidental finding of an accessory ovary in a 16-yr-old at laparoscopy. J Reprod Med 2000;45:435-8.

2. Wharton LR. Two cases of supernumerary ovary and one of accessory ovary, with an analysis of previously reported cases. Am J Obstet Gynecol 78:1101-1119:1959.

3. Adkins S. Teratomas and other germ cell tumors. 2008 en línea]. Dirección URL: .

4. Roth LM, Davis MM, Sutton GP. Steriod cell tumor of the broad ligament arising in an accessory ovary. Arch Pathol Lab Led 1996;120:405-9.

5. Liu AX, Sun J, Shao W, Jin H, Song W. Steroid cell tumors, not otherwise specified (NOS), in an accessory ovary: a case report and literature review. Ginecol Oncol 2005;97:260-2.

6. Kosasa TS, Griffiths CT, Shane JM, leventhal JM, Naftolin F. Diagnosis of a supernumerary ovary with human chorionic gonadotropin. Obstet Gynecol 1976:47;47:236-7.

7. Heller DS, Harpaz N, Breakstone B. Neoplasms arising in ectopic ovaries: a case of brenner tumor in an accessosy ovary. Int Gynecol Pathol 1990;9:185-9.

8. Lim MC, Park SJ, Kim SW. Two dermoid cysts developing in an accessory ovary and an eutopic ovary. Korean Acad Med Sci 2004;19:474-6.

9. Lachman MF, Berman MM. The ectopic ovary: a case report a review of the literature. Arch Pathol Lab Med 1991:115:233-5.

10. Andrade LA, Gentilli AL, Polli G. Sclerosing stromal tumor in a accessory ovary. Gynecol Oncol 2001;81:318-9.

11. Schultze H. Fenger C. Accessory ovary: case report. Data obstet Gynecol Scand 1986;65:503-4.

12. Oliveira PF, Silva CS, Murta EF, Nomelini RS. Case report ectopic ovary after previous bilateral oophorectomy in a breast cancer patient. J Obstet Gynaecol 2014;34:655-6.

13. Kourie FMG, Kourie-Rodriguez JP. Ovario supernumerario. Reporte de un caso y revisión de la literatura probable 33o caso de la literatura mundial y primer caso reportado en la Republica Dominicana. Acta Med Dominicana 1962;14:48- 51.

14. Macotela KA, Bayona P, Avendaño A. Informe histopatológico de tejido ovárico ectópico verdadero. Anal Med (Asociación Médica Centro Medico ABC). 2012;57(4):349- 352.

15. Watkins BP, Kothari SN. True ectopic ovary: a case and review. Arch Gynecol Obstet 2004;269:145-146.

16. Sharatz MS, Treviño AT. Giant serous cystadenoma arising from an accessory ovary in a morbidly obese 11-year-old girl: a case report. J Med Case Rep 2008;2:7.