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.

DESIGN

Case report.

SETTING

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

PATIENT(S): Three patients with infertility showing abnormality on hysterosalpingography and a fourth patient with acute pelvic pain who were admitted to our clinic.

INTERVENTION(S): All four patients underwent laparoscopic surgery.

MAIN OUTCOME MEASURE(S): 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.

RESULT(S): We detected four cases of unilateral ovarian and partial tubal absence in these operations.

CONCLUSION(S): 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.