wandering ovary

Download WANDERING OVARY

Post on 13-Feb-2016

64 views

Category:

Documents

3 download

Embed Size (px)

DESCRIPTION

WANDERING OVARY. DR.J.CHITRA M.D,DGO,D.NB ASSTPROFESSOR KANYAKUMARI GOVT MEDICALCOLLEGE. Clinical history. 24 years old young unmarried girl Acute abdominal pain for 4 days Attained menarche 14 th year Periods once in 2 months / 3 days Painless, scanty periods. - PowerPoint PPT Presentation

TRANSCRIPT

  • WANDERING OVARYDR.J.CHITRA M.D,DGO,D.NB ASSTPROFESSOR KANYAKUMARI GOVT MEDICALCOLLEGE

  • Clinical history24 years old young unmarried girl Acute abdominal pain for 4 days Attained menarche 14th year Periods once in 2 months / 3 days Painless, scanty periods

  • Previous history1 year back, was treated for the same acute abdominal pain elsewhere. Diagnosed as bilateral multiloculated ovarian cysts Advised surgery- she refused Treated conservatively She was symptom free for one year

  • Scan report Scan taken on 5.10.04 Rt.Ovary 12x12cm Cystic, multilocular, thin walled Lt Ovary 11x12 cm, cystic

  • CLINICAL EXAMINATIONO/E - P/A no mass palpable P/R - Cystic, tender mass felt occupying the pouch of DouglasRoutine investigations normal Ultrasonagram right ovarian cyst multi loculated 12 x 12 cm Left ovary not visualized Uterus normal

  • LAPAROSCOPY FINDINGSRight Ovary Twisted Cystic, Multilocular Variable in size Thin walled

  • Procedure on Right ovarian cystUntwisting of the ovarian cyst done Cystectomy done Remaining ovarian tissue left outLEFT OVARY NOT SEEN AT ITS SITE

  • Amputated site of left ovaryATTACHED TO OMENTUMOVARY

  • WANDERING OVARY

    Normal looking ovary ,3.5 cm x 3 cm x 2 cm in size, seen attached to omentum

    Feeding vessels are seen from omentum

  • Procedure on Right ovarian cystUntwisting of the ovarian cyst done Cystectomy done Remaining ovarian tissue left outLEFT OVARY NOT SEEN AT ITS SITE

  • HPE SIMPLE SEROUS CYST RIGHT OVARIAN CYSTAMPUTED OVARIAN BIOPSY CONFIRMED OVARIAN TISSUE HPE

  • FOLLOW UP REGULAR MENSTRUATIONSTARTED AFTER THREE MONTHS

    AFTER ONE YEAR ULTRA SOUNDREVEALED NORMAL UTERUS. RIGHT OVARY 4 x 3cms LEFT OVARY NOT SEEN NO OTHER CYSTIC MASS SEENPLAIN X-RAY NO CALCIFICATION NOTED

  • THANK YOU