Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9318-9322
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9318
Congenital ovarian anomaly manifesting as extra tissue connection between the two ovaries: A case report
Myeong Gyun Choi, Jong Woon Kim, Yoon Ha Kim, A Mi Kim, Tae Young Kim, Hyun Kyung Ryu
Myeong Gyun Choi, Jong Woon Kim, Yoon Ha Kim, A Mi Kim, Tae Young Kim, Hyun Kyung Ryu, Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju 61469, South Korea
Author contributions: Choi MG wrote the manuscript, and edited all its revisions; Kim AM, Ryu HK and Kim TY retrieved the data, assisted in writing and editing the manuscript; Kim JW and Kim YH participated in designing the study, retrieved the data, assisted in writing the manuscript, and edited all its revisions; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors declare that they have no competing interests to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jong Woon Kim, MD, PhD, Professor, Department of Obstetrics and Gynecology, Chonnam National University Medical School, 160 Baekseo-ro, Dong-Gu, Gwangju 61469, South Korea. jwkimmd@jnu.ac.kr
Received: March 4, 2022
Peer-review started: March 7, 2022
First decision: May 11, 2022
Revised: May 16, 2022
Accepted: August 5, 2022
Article in press: August 5, 2022
Published online: September 16, 2022
Processing time: 181 Days and 20.1 Hours
Abstract
BACKGROUND

Ovarian anomalies except for uni- or bilateral streak gonads are rare. We present a rare case of an ovarian anomaly in which both ovaries were connected by extra tissue.

CASE SUMMARY

A 32-year-old, primipara with a twin pregnancy at 36 weeks of gestation was admitted to the hospital with severe preeclampsia. She underwent emergency cesarean section owing to persistent headache, blurred vision, and general edema. Following a peritoneal incision, a thin rectangular-shaped tissue was seen in front of the uterus. After delivery, the extra tissue was removed; no other anomalies were reported in either the ovaries or uterus. Pathology results of the removed tissue disclosed a well-vascularized loose stromal tissue with few follicles and scattered luteinized cells. In this case, to prevent pelvic adhesion or intestinal obstruction resulting from volvulus, strangulation, and torsion, the extra tissue was removed.

CONCLUSION

We report a case of a rare ovarian anomaly where both ovaries were connected by extra tissue. If the extra tissue extends to the abdominal cavity, it should be removed to prevent pelvic adhesion or abdominal complications including intestinal volvulus, strangulation, and torsion.

Keywords: Connected ovaries; Extra tissue; Ovarian anomaly; Case report

Core Tip: Herein we present the case of a rare ovarian anomaly where both ovaries were connected by extra tissue. If the extra tissue extends to the abdominal cavity, it should be removed to prevent pelvic adhesion or abdominal complications including intestinal volvulus, strangulation, and torsion.