A rare concurrence of congenital ovarian and uterine malformations

Background. The ectopic ovary is a condition that is rarely encountered in gynecological practice, the description of which uses various synonymous terms, such as an accessory ovary, supernumerary ovary, and an auto-amputated ovary. The incidence of this pathology ranges from 1 to 29 000-700 000 clinical cases. Its diagnosis is difficult due to the absence of pathognomonic symptoms characteristic of this ovarian malformation. Surgical tactics remain a controversial issue. According to the results of searching in Google Scholar, Medscape, and PubMed, the authors have described only two cases of the ectopic third ovary in patients with uterine and vaginal aplasia. Case report. Patient A., aged 22 years, diagnosed with genital organ malformations and uterine and vaginal aplasia, was admitted to the Department of Operative Gynecology. She underwent surgical treatment: laparoscopy-assisted creation of an artificial vagina from the pelvic peritoneum. Revision of the abdominal cavity and pelvis revealed that from the right ovary there is a peritoneal fold that passes cranially and laterally into the accessory ovary. Given the presence of concurrent uterine malformation in the patient, it is possible to use the ectopic ovary during subsequent follicular puncture. Conclusion. This paper describes an atypical rare clinical case of a concurrence of the ectopic ovary and uterine and vaginal aplasia. Differential diagnosis is a top priority for clinicians. Various clinical and morphological variants of the ectopic ovary require that both obstetricians and gynecologists should pay precise attention and infringe on the interests of physicians of related specialties.

ectopic ovary, accessory ovary, uterine and vaginal aplasia, colpopoiesis using the pelvic peritoneum