From: Ovarian absence: a systematic literature review and case series report
n | % | |
---|---|---|
Ovarian Absence Cases | 113 | 100 |
Age (years), mean ± SD | 22.47 | ± 14.9 |
Age Groups * | ||
Infant (0–2 years) | 20 | 18% |
Child (2–18 years) | 17 | 15% |
Adult (18 + years) | 74 | 65% |
Not specified | 2 | 2% |
Suspected Etiology * | ||
Torsion/Vascular accident | 58 | 52% |
Embryological | 24 | 21% |
Indeterminant/unclear | 31 | 27% |
Surgical Modality | ||
Laparoscopy | 65 | 58% |
Laparotomy | 37 | 32% |
Autopsy | 2 | 2% |
Not specified | 9 | 8% |
Imaging Modalities a | ||
Ultrasound | 62 | 55% |
MRI | 15 | 14% |
Hysterosalpingogram | 14 | 13% |
CT | 15 | 14% |
X-Ray | 12 | 11% |
Not specified c | 33 | 30% |
Genetic Testing | ||
Yes b | 23 | 20% |
No or not specified | 90 | 80% |
Pre-operative Imaging Congruent with Surgical findings | ||
Yes | 41 | 50% |
No | 16 | 20% |
Not Applicable c | 25 | 30% |
Clinical Presentation of Ovarian Absence (or procedure leading to diagnosis) | ||
Abdominal/Pelvic pain | 34 | 30% |
Infertility/Subfertility | 21 | 19% |
Evaluation of mass | 18 | 16% |
Amenorrhea | 13 | 12% |
Sterilization | 7 | 6% |
Abnormal uterine bleeding | 5 | 4% |
Congenital abnormality | 3 | 3% |
Autopsy | 3 | 3% |
Malignancy | 2 | 2% |
Ectopic pregnancy | 3 | 2% |
Cesarean section | 1 | 1% |
Foreign body | 1 | 1% |
Urinary tract infection | 1 | 1% |
Endometrial hyperplasia | 1 | 1% |
Laterality of Absence | ||
Left | 56 | 50% |
Right | 49 | 43% |
Bilateral | 8 | 7% |
Other Structures Affected a | ||
Absent fallopian tube | 56 | 50% |
Partial fallopian tube | 39 | 35% |
Absent round ligament | 14 | 12% |
Absent broad ligament | 9 | 8% |
Absent infundibulopelvic ligament | 5 | 5% |
Absent utero-ovarian ligament | 1 | 1% |
None | 4 | 4% |
Not specified /unclear | 10 | 9% |
Other Structures Affected (laterality, to absent ovary) | ||
Ipsilateral | 91 | 81% |
Bilateral | 6 | 5% |
Not Stated | 16 | 14% |
Uterine Anatomy a | ||
Normal uterus | 66 | 58% |
Hypoplastic/Rudimentary uterus | 8 | 7% |
Uterine Leiomyoma | 3 | 3% |
Abnormal uterine variations | 19 | 17% |
Unicornuate | 11 | 58% |
Absent (non-surgically) | 4 | 21% |
Mature cystic teratoma on anterior uterine wall | 1 | 5% |
Septate | 1 | 5% |
Arcuate | 1 | 5% |
Sagittal sulcus on fundus | 1 | 5% |
Not specified | 19 | 17% |
Endometriosis | ||
Present | 7 | 6% |
Absent or not specified | 106 | 94% |
Kidney anatomy | ||
Normal | 58 | 51% |
Different variations a | 25 | 22% |
Renal agenesis | 18 | 72% |
Ectopic kidney | 3 | 12% |
Nephrolithiasis | 2 | 8% |
Cystic kidney | 1 | 4% |
Pyelitis | 1 | 4% |
Not specified | 30 | 27% |
Renal Abnormality Laterality | ||
Ipsilateral (to the ovary) | 21 | 84% |
Contralateral | 3 | 12% |
Bilateral | 1 | 4% |
Mass/pathology report | ||
Mass present | 28 | 25% |
Ovarian tissue | 10 | 36% |
Non-ovarian tissue | 10 | 36% |
Indeterminant (possible ovarian) | 7 | 25% |
Mass not removed | 1 | 4% |
Mass absent | 85 | 75% |