Case of Accessory Ovary in the Round Ligament with Associated Endometriosis
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This paper reports the first case of an accessory ovary found in the round ligament, which histopathology revealed to contain ovarian stroma with associated endometriosis.
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Abstract
The phenomenon of accessory ovary, initially described in 1864, is extremely rare. We report a case of an accessory ovary in a round ligament with endometriosis. At the time of laparoscopy a firm 2- to 3-cm mass was noted within the round ligament with a normal ovary visualized. Dissection and removal of the mass was performed. Histopathology revealed ovarian stroma and dense connective tissue with endometriosis. This case fulfills the criteria established in 1959 for accessory ovary and is the first case of an accessory ovary reported within the round ligament. A unique finding with the accessory ovary in this case is the presence of endometriosis. No reported cases exist of endometriosis within an accessory ovary. This information may be pertinent for evaluation of dysmenorrhea when no endometrial implants are present, or with the persistence or recurrence of endometriosis and pain after a bilateral salpingo-oophorectomy.
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Cited by (3)
- Expression of monocyte chemotactic protein 2 and tumor necrosis factor alpha in human normal endometrium and endometriotic tissues 2020
- Pelvic tumors with normal-appearing shapes of ovaries and uterus presenting as an emergency (Review) 2012
- Accessory ovary in the utero-ovarian ligament: an incidental finding 2011
References (9)
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Cited by (3)
- Expression of monocyte chemotactic protein 2 and tumor necrosis factor alpha in human normal endometrium and endometriotic tissues 2020
- Pelvic tumors with normal-appearing shapes of ovaries and uterus presenting as an emergency (Review) 2012
- Accessory ovary in the utero-ovarian ligament: an incidental finding 2011
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- europepmc
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- openalex
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- pubmed
- last seen: 2026-05-13T22:14:11.755070+00:00
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