Abstract
45-year-old woman had a history of abnormal uterine bleeding for 2 years. She was admitted to the hospital and underwent a hysterectomy and bilateral salpingo-oophorectomy. The specimen was received in pathology and consisted of a 280-g uterus with attached bilateral fallopian tubes and ovaries. Adherent to the right ovary was an encapsulated, multifaceted, black calculus (Figure 1). Closer examination revealed an apparent gallstone connected to the ovary by dense fibrous tissue (Figure 2). The patient had undergone a laparoscopic cholecystectomy 2 years prior to the hysterectomy. The gallbladder contained multiple hard, black, multifaceted gallstones, which were identical to the calculus adherent to the ovary. Gallstones implanting in the ovary are an unusual finding. Spillage and loss of gallstones into the peritoneal cavity
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