Objective: To report an extremely rare case of an autoamputated ovary with a dermoid cyst diagnosed during a Cesarean section and review the literature.

Design: Case report.

Setting: Tertiary hospital.

Patient(s): A 33-year-old pregnant woman submitted to Cesarean section and was incidentally diagnosed with absence of the right ovary, implanted in the cul-de-sac.

Intervention(s): Cesarean section and extraction of a pedunculated tumor formation from the cul-de-sac, adhesiolysis.

Main Outcome Measure(s): Histologic analysis of the extracted morphoma confirmed the diagnosis of a dermoid cyst with coexistence of residual ovarian tissue.

Results: The patient had an uneventful postpartum period and was discharged home.

Conclusion(s): Ovarian autoamputation is an extremely rare phenomenon that has uncertain etiology; it may develop after ovarian torsion or torsion of a dermoid cyst. It may be asymptomatic. Usual site of implantation is the greater omentum.

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Source
http://dx.doi.org/10.1016/j.fertnstert.2008.12.029DOI Listing

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