Ovarian transposition

Case contributed by Dr Yair Glick

Presentation

Follow-up after radical hysterectomy and radiation therapy for cervical cancer.

Patient Data

Age: 40 years
Gender: Female
X-ray

Abdominal radiograph

  • surgical clips from radical hysterectomy with pelvic and paraaortic lymph node removal
  • single surgical clip in each paracolic gutter above pelvic brim marks position of respective ovary
CT
  • cystic structure with thick enhancing wall in right ovary, most probably corpus luteal cyst
  • no evidence of disease recurrence

Case Discussion

A radiologist unaware of the widely accepted practice of ovarian transposition (oophoropexy) prior to pelvic radiation therapy may misdiagnose the transposed ovaries as metastases or disease recurrence.

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Case information

rID: 51412
Case created: 14th Feb 2017
Last edited: 21st Apr 2017
Inclusion in quiz mode: Included

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