Laparoscopic Treatment of Acute Ovarian Incarceration into the Pelvic Peritoneal Sac

Kataoka K, Keiko Kataoka, K Kataoka, Rika Egami, Egami R, Yuki Izumi, Izumi Y, Yamada Y, Yoko Yamada, Katsuko Egashira, K Egashira, Akiko Miyahara, Miyahara A, Fukuhara M, Masao Fukuhara, Watanabe Y, Yoshitsugu Watanabe, Nakamura GI, Gen-ishi Nakamura
Journal of Minimally Invasive Gynecology · 2009 · vol. 16(5) , pp. 649–651 · doi:10.1016/j.jmig.2009.06.006 · PMID:19835814 · W2060960769
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes the laparoscopic surgical technique for treating acute ovarian incarceration within the pelvic peritoneal sac.

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Abstract

Pelvic pain is a common symptom in women of reproductive age. Acute pelvic pain with rapid onset demands prompt diagnosis and treatment. We report the case of a patient with ovarian incarceration of acute onset. To our knowledge, this is the first report of ovarian incarceration into the pelvic peritoneal sac in a woman of reproductive age. In the present case, laparoscopy was useful in establishing the cause of pelvic pain. The patient reported severe lower right quadrant abdominal pain of sudden onset. At laparoscopic examination, the right fallopian tube was normal; however, the right ovary was not initially visible at the normal site. After the swollen right ovarian ligament was pulled aside using nontraumatic laparoscopic forceps, we were able to detect incarceration of the right ovary into the peritoneal sac in the medial to right uterosacral ligament. This case is unique because of ovarian incarceration into the peritoneal fenestration. We believe this condition was congenital because there was no other cause such as previous surgery, severe endometriosis, or pelvic inflammatory diseases.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Abdomen, Acute Hernia Ovarian Diseases Abdomen, Acute Adult Female Hernia Humans Laparoscopy Ovarian Diseases Pelvic Pain Pelvic Pain Peritoneum Tomography, X-Ray Computed Torsion Abnormality Torsion Abnormality

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References (8)

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europepmc
last seen: 2026-08-01T06:07:04.264727+00:00
openalex
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pubmed
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License: CC0 · commercial use OK