Unilateral congenital ovarian and partial tubal absence: report of four cases with review of the literature.
OBJECTIVE
To present four rare cases of congenital unilateral tubal and ovarian abnormalities with their laparoscopic images.


METHODS
Case report.


METHODS
Baskent University Faculty of Medicine, Department of Obstetrics and Gynecology, Konya, Turkey.


METHODS
Three patients with infertility showing abnormality on hysterosalpingography and a fourth patient with acute pelvic pain who were admitted to our clinic.


METHODS
All four patients underwent laparoscopic surgery.


METHODS
Case 1 showed an absence of a distal tubal segment with ipsilateral ovarian agenesis. Case 2 showed a unilateral partial distal tubal absence with normal adjacent ovary. Case 3 showed a twisted and adherent tube with ipsilateral ovarian absence. Case 4 showed a unilateral ovarian agenesis and contralateral acute adnexal torsion.


RESULTS
We detected four cases of unilateral ovarian and partial tubal absence in these operations.


CONCLUSIONS
We present four unusual cases of unilateral ovarian and partial tubal absence. The absence of one ovary and tube may be explained by two possible etiopathogenic causes: asymptomatic adnexial torsion or congenital malformation.
Uckuyu
Ayla
A
Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Konya, Turkey. aylauckuyu@yahoo.com
Ozcimen
Emel E
EE
Sevinc Ciftci
F Ceylan
FC
D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery; D000291:Adnexal Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000328:Adult; D005187:Fallopian Tubes / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy; D010053:Ovary / Q000002:abnormalities* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D014102:Torsion Abnormality / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult