Ovarian Remnant Syndrome

Magtibay PM, Paul M. Magtibay, Javier F. Magrina, Magrina JF
Clinical Obstetrics and Gynecology · 2006 · vol. 49(3) , pp. 526–534 · doi:10.1097/00003081-200609000-00012 · PMID:16885659 · W2036353543
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper describes ovarian remnant syndrome, a condition arising from residual ovarian tissue after bilateral salpingo-oophorectomy, leading to pelvic pain or masses, and reviews its presentation and surgical management.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-18 · read from full text ⓘ

This paper defines ovarian remnant syndrome as a condition where residual ovarian tissue persists after bilateral salpingo-oophorectomy, leading to pelvic pain or masses. The authors identify risk factors for incomplete surgical removal, including prior endometriosis, pelvic inflammatory disease, and extensive adhesive disease. Diagnosis requires histologic confirmation of ovarian tissue following excision, with laparoscopic or open surgical removal recommended as the primary treatment. This paper is centrally about endometriosis — specifically noting it as a significant risk factor for developing ovarian remnant syndrome due to adhesions that complicate initial surgery.

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Abstract

Ovarian remnant syndrome (ORS) refers to a condition occurring in women who have had a bilateral salpingo-oophorectomy (BSO), with or without a hysterectomy, that leaves behind ovarian tissue. This residual ovarian tissue then results in pelvic pain or a pelvic mass. Risk factors associated with incomplete removal of an ovary and subsequent development of ORS include a history of endometriosis, pelvic inflammatory disease, multiple previous surgeries, and pelvic adhesive disease. Patients most frequently present with chronic pelvic pain, pelvic pain associated with a pelvic mass, or an asymptomatic pelvic mass. Definitive criteria for diagnosis of ORS include a history of BSO with histologic documentation of ovarian tissue obtained during subsequent surgical excision. The recommended treatment for ORS is surgical excision by laparotomy or, more recently, laparoscopy. We present the presentation and management of patients with ORS and a review of the published literature.
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Ovarian Remnant Syndrome - PAUL M. MAGTIBAY - JAVIER F. MAGRINA Ovarian remnant syndrome (ORS) refers to a condition occurring in women who have had a bilateral salpingo-oophorectomy (BSO), with or without a hysterectomy, that leaves behind ovarian tissue. This residual ovarian tissue then results in pelvic pain or a pelvic mass. Risk factors associated with incomplete removal of an ovary and subsequent development of ORS include a history of endometriosis, pelvic inflammatory disease, multiple previous surgeries, and pelvic adhesive disease. Patients most frequently present with chronic pelvic pain, pelvic pain associated with a pelvic mass, or an asymptomatic pelvic mass. Definitive criteria for diagnosis of ORS include a history of BSO with histologic documentation of ovarian tissue obtained during subsequent surgical excision. The recommended treatment for ORS is surgical excision by laparotomy or, more recently, laparoscopy. We present the presentation and management of patients with ORS and a review of the published literature.

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Condition tags

chronic_pelvic_painendometriosis

MeSH descriptors

Fallopian Tubes Ovarian Diseases Ovariectomy Pelvic Pain Fallopian Tubes Female Humans Laparoscopy Ovarian Diseases Ovarian Diseases Ovarian Diseases Ovariectomy Pelvic Pain Pelvic Pain Risk Factors Syndrome

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References (17)

Cited by (31)

Source provenance

europepmc
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License: CC0 · commercial use OK