An unusual case of trapped ovary in a peritoneal pouch causing extrinsic ureteric compression associated with endometriosis
This case report describes a 35-year-old woman whose long-standing loin pain was caused by a trapped ovary in a peritoneal pouch compressing her ureter due to endometriosis.
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This case report describes a 35-year-old woman with 18 months of right loin-to-groin colicky pain and urinary urgency, initially evaluated for urologic causes after intravenous urography suggested mild right ureteral obstruction and a CT scan showed a 3-cm right adnexal mass interpreted as a physiological ovarian cyst. Transvaginal ultrasound later found an immobile, tender ovary adherent to the pelvic side wall, and diagnostic laparoscopy revealed a trapped ovary within a peritoneal defect/pouch in the broad ligament that compressed the ureter; a spot of endometriosis was seen at the base of the defect. The trapped ovary was removed (salpingo-oophorectomy) because it could not be repositioned, with immediate symptom resolution and no pain recurrence at 6-week follow-up. As a single case, the report’s conclusions are limited to this patient. This paper is centrally about endometriosis — it reports extrinsic ureteric compression caused by a trapped ovary in a peritoneal pouch with endometriosis-associated peritoneal defect.
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References (8)
- Bilateral Ureteric Obstruction Secondary to Endometriosis via openalex
- Endometriosis: Correlation between histologic and visual findings at laparoscopy via openalex
- Endometriosis of the Ureter via openalex
- Obstructive Uropathy Secondary to Endometriosis via openalex
- Silent pelvic endometriosis presenting as pyelonephritis and ureteric obstruction via openalex
- Urologic complications of endometriosis via openalex
- W2297239730 via openalex
- W2080285753 via openalex
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