Surgical transpositioning of ectopic ovarian tissue and pregnancy.

OBJECTIVE

Our objective was to report transpositioning an ectopic ovary, successfully using the assisted reproduction technique (ART), with the outcome of retrieving an oocyte from the transpositioned ovary during ART.

CASE REPORT: The couple, presenting with a history of 2 years of secondary infertility, was admitted to our hospital. Two years earlier, the patient had undergone a left salpingo-oophorectomy for a ruptured ectopic pregnancy. The right ovary had not been detected during the previous operation. During surgery, we observed that the right ovary was attached to the posterior abdominal wall near the hepatic flexura. It was repositioned, moved, placed and fixed to the posterior wall of the uterus. One follicle developed and was retrieved from the transpositioned ovary during in vitro fertilization. The patient now has a healthy ongoing singleton pregnancy.

CONCLUSION

An ectopic ovary is an extremely rare gynecological entity. Transpositioning an ectopic ovary should be kept in mind as a possible procedure for the management of patients presenting with infertility where the other ovary is absent or does not respond to controlled ovarian hyperstimulation treatment.