Accessory ovary in the utero-ovarian ligament: an incidental finding

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An asymptomatic accessory ovary was incidentally discovered in the utero-ovarian ligament during laparoscopic tubal sterilization, highlighting a rare anatomical variation that surgeons should recognize to avoid unnecessary tissue removal.

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Abstract

BACKGROUND: So far, only 21 descriptions of accessory ovary have been reported since 1959. However, the true incidence of this condition is probably underestimated because the pathologic forms (ovarian tumors and endometriosis) are probably more often diagnosed and reported. CASE: We report the incident discovery of one right accessory ovary during a laparoscopic tubal sterilization. This accessory ovary was asymptomatic and structurally normal. It was connected serial to the right utero-ovarian ligament and left in situ. There was no other anomaly. CONCLUSION: Gynaecologic surgeons must be aware of this possibility when removal of the whole ovarian tissue is needed.

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MeSH descriptors

Incidental Findings Incidental Findings Ovary Adult Adult Female Female Humans Humans Laparoscopy Laparoscopy Ovary Ovary Sterilization, Tubal Sterilization, Tubal

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europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:08:47.456808+00:00
License: CC0 · commercial use OK