Abstract
Background
Undescended ovaries are typically detected during infertility evaluations and are
frequently associated with uterine malformations. Ruptured hemorrhagic corpus luteum
cyst of an undescended ovary is an unusual cause of acute abdomen in an adolescent.
Case
A 15-year-old girl presented with right lower quadrant pain, nausea, and vomiting,
and transabdominal sonography and magnetic resonance imaging of the pelvis showed
a 10 cm × 5 cm sized cystic mass at the level of the pelvic brim, anterior to the
psoas muscle suggestive of a retroperitoneal hemorrhagic cyst. At surgery, the uterus
and left adnexa appeared normal, but the right ovary was not visible within the pelvic
cavity, and the right pelvic retroperitoneum was distended. After opening the retroperitoneum
and aspirating blood clots, the undescended ovary with a ruptured cyst was visualized
within the retroperitoneum. Right ovarian wedge resection was performed and the right
ovary was repositioned in the pelvic cavity.
Summary and Conclusion
Rupture of a corpus luteum cyst in an undescended ovary should be included in the
differential diagnosis of acute abdomen in adolescents.
Key Words
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Article info
Publication history
Published online: September 21, 2015
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
