Cyst aspiration with gonadotropin suppression in ovarian remnant syndrome with ureteral obstruction: A case report  

作　　者：David J. DeWitt Kathleen Eyster Keith A. Hansen 

机构地区：[1]Division of Basic Biomedical Sciences, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Vermillion, USA [2]PGY-1 Obstetrics and Gynecology, Grand Rapids Medical Partners, Grand Rapids, USA [3]Sanford Women’s Health, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Sioux Falls, USA

出　　处：《Open Journal of Obstetrics and Gynecology》2012年第4期337-339,共3页妇产科期刊（英文）

摘　　要：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.

关 键 词：OVARIAN REMNANT Syndrome Ureteral Obstruction LEUPROLIDE Acetate 

分 类 号：R73[医药卫生—肿瘤]