Cyst aspiration with gonadotropin suppression in ovarian remnant syndrome with ureteral obstruction: A case report
Affiliation(s)
PGY-1 Obstetrics and Gynecology, Grand Rapids Medical Partners, Grand Rapids, USA. Division of Basic Biomedical Sciences, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Vermillion, USA. Sanford Women’s Health, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Sioux Falls, USA.
PGY-1 Obstetrics and Gynecology, Grand Rapids Medical Partners, Grand Rapids, USA. Division of Basic Biomedical Sciences, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Vermillion, USA. Sanford Women’s Health, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Sioux Falls, USA.
ABSTRACT
Background: Ovarian remnant syndrome (ORS) is characterized by functional ovarian tissue following bilateral salpingo-oophorectomy. ORS presents with pelvic pain or mass, but may also present with urinary tract symptoms resulting from enlarging residual tissue. Case: A 37 year old woman presented with pelvic pain radiating to her flank due to ureteral obstruction from an enlarging ovarian cyst in ORS. Transvaginal ultrasound guided, ovarian cyst aspiration accompanied by leuprolide acetate gonadotropin suppression resulted in acute and chronic relief of ureteral obstruction. Conclusion: This case demonstrated successful treatment of ureteral obstruction caused by an ovarian cyst in a patient with ORS via cyst aspiration and leuprolide acetate gonadotropin suppression. This treatment is a viable alternative for management of ORS, but sacrifices pathologic diagnosis when compared to traditional surgical resection.
Background: Ovarian remnant syndrome (ORS) is characterized by functional ovarian tissue following bilateral salpingo-oophorectomy. ORS presents with pelvic pain or mass, but may also present with urinary tract symptoms resulting from enlarging residual tissue. Case: A 37 year old woman presented with pelvic pain radiating to her flank due to ureteral obstruction from an enlarging ovarian cyst in ORS. Transvaginal ultrasound guided, ovarian cyst aspiration accompanied by leuprolide acetate gonadotropin suppression resulted in acute and chronic relief of ureteral obstruction. Conclusion: This case demonstrated successful treatment of ureteral obstruction caused by an ovarian cyst in a patient with ORS via cyst aspiration and leuprolide acetate gonadotropin suppression. This treatment is a viable alternative for management of ORS, but sacrifices pathologic diagnosis when compared to traditional surgical resection.
Cite this paper
J. DeWitt, D. , Eyster, K. and A. Hansen, K. (2012) Cyst aspiration with gonadotropin suppression in ovarian remnant syndrome with ureteral obstruction: A case report. Open Journal of Obstetrics and Gynecology, 2, 337-339. doi: 10.4236/ojog.2012.24071.
J. DeWitt, D. , Eyster, K. and A. Hansen, K. (2012) Cyst aspiration with gonadotropin suppression in ovarian remnant syndrome with ureteral obstruction: A case report. Open Journal of Obstetrics and Gynecology, 2, 337-339. doi: 10.4236/ojog.2012.24071.
References
[1] Katz, V.L., Ed. (2007) Ovarian remnant syndrome. Katz: Comprehensive Gynecology, 5th Edition, Chapter 18, Mosby, Philadelphia. [2] Bryce G.M. and Malone, P. (1989) The ovarian remnant syndrome presenting with acute urinary retention. Postgraduate Medical Journal, 65, 797-798. doi:10.1136/pgmj.65.768.797 [3] Magtibay, P.M., Nyholm, J.L., Hernandez, J.L., Podratz, K.C. (2005) Ovarian remnant syndrome. American Journal of Obstetrics & Gynecology, 193, 2062-2066. doi:10.1016/j.ajog.2005.07.067 [4] Siddall-Allum, J. (1994) The ovarian remnant syndrome. Journal of the Royal Society of Medicine, 87, 375-376. [5] Koch, M.O., Coussens, D. and Burnett, L. (1994) The ovarian remnant syndrome and ureteral obstruction: Medical management. Journal of Urology, 152, 158-160.
[1] Katz, V.L., Ed. (2007) Ovarian remnant syndrome. Katz: Comprehensive Gynecology, 5th Edition, Chapter 18, Mosby, Philadelphia. [2] Bryce G.M. and Malone, P. (1989) The ovarian remnant syndrome presenting with acute urinary retention. Postgraduate Medical Journal, 65, 797-798. doi:10.1136/pgmj.65.768.797 [3] Magtibay, P.M., Nyholm, J.L., Hernandez, J.L., Podratz, K.C. (2005) Ovarian remnant syndrome. American Journal of Obstetrics & Gynecology, 193, 2062-2066. doi:10.1016/j.ajog.2005.07.067 [4] Siddall-Allum, J. (1994) The ovarian remnant syndrome. Journal of the Royal Society of Medicine, 87, 375-376. [5] Koch, M.O., Coussens, D. and Burnett, L. (1994) The ovarian remnant syndrome and ureteral obstruction: Medical management. Journal of Urology, 152, 158-160.