Unilateral Absence of the Fallopian Tube and the Ovary: Report of Two Cases and Brief Review of the Literature

Abstract

Background: Absence of unilateral adnexa is a rare situation, and its possible etiology still remains obscure. In this report, 2 cases with congenital unilateral absence of the Fallopian tube and the ovary are presented, along with a brief review of the literature and a discussion of the possible etiologies. Cases: In case 1, the left Fallopian tube and the ovary of a 32-year-old nulliparous woman were demonstrated to be absent, during laparoscopy performed during infertility workup. In case 2, the right Fallopian tube and the ovary were diagnosed to be absent in laparoscopy performed to manage a left tubal ectopic pregnancy. Results: In case 1, patient was planned to undergo controlled ovarian hyperstimulation and intrauterine insemination for 3 cycles. In case 2, ectopic gestational sac was removed through linear salpingostomy. Conclusions: Contralateral adnexa should be visualized before any intervention with a fallopian tube or ovary. (J GYNECOL SURG 29:72)