Bilateral ovarian maldescent: Unusual cause of infertility - A case report and literature review.
Infertility due to ovarian maldescent is extremely rare and diagnosis can be challenging in the absence of uterine anomalies. We present a case of infertility due to bilateral ovarian maldescent with normal uterine anatomy who conceived after in vitro fertilization and did not require removal of the ovaries. A 19-year-old woman presented with primary infertility. After three failed cycles of ovulation induction/intrauterine insemination and one failed cycle of fresh embryo transfer, the patient underwent laparoscopy, which showed bilateral ovaries above the pelvic brim. The patient conceived after second in vitro fertilization and delivered at 34 weeks. Accurate diagnosis of ovarian maldescent in a patient of unexplained infertility and normal uterus is crucial for successful follicular aspiration and infertility treatment. It is important to counsel patients about the benign nature of this rare entity and future fertility.
Department of Obstetrics and Gynecology, Maimonides Medical Center, New York, USA.
D
D
Garg
Department of Obstetrics and Gynecology, Maimonides Medical Center, New York, USA.
R
R
Grazi
Department of Obstetrics and Gynecology, Maimonides Medical Center, New York, USA.
N
N
Kankanala
Department of Obstetrics and Gynecology, Maimonides Medical Center, New York, USA.
K
K
Melzer-Ross
D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D007247:Infertility, Female / Q000209:etiology* / Q000628:therapy; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000150:complications* / Q000000981:diagnostic imaging* / Q000473:pathology; D010053:Ovary / Q000002:abnormalities / Q000000981:diagnostic imaging; D011247:Pregnancy; D011256:Pregnancy Outcome; D055815:Young Adult
in vitro fertilization; infertility; intrauterine insemination; ovarian maldescent