Ovarian remnant syndrome

Chronic pelvic pain

Published in Peter R Wilson, Paul J Watson, Jennifer A Haythornthwaite, Troels S Jensen, Clinical Pain Management, 2008

Andrea J Rapkin, Monica Lee

The ovarian remnant syndrome is a rare complication resulting from ovarian cortical tissue left in situ during a difficult salpingo-oophorectomy, generally in the setting of extensive inflammation from tubo-ovarian abscess or endometriosis.71, 72 In this situation, the remnants of the ovarian tissue may become functional and cystic.73

Chronic Pelvic Pain

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Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005

Andrea J. Rapkin, Candace Howe

The ovarian remnant syndrome may cause chronic pelvic pain in a patient who has had a hysterectomy and bilateral salpingo-oophorectomy for severe endometriosis or pelvic inflammatory disease. Ovarian remnant syndrome results from residual ovarian cortical tissue that is left in situ after a difficult dissection in an attempt to perform an oophorectomy (Steege, 1987). Often the patient has had multiple pelvic operations with the uterus and adnexa removed sequentially.

The role of pharmacotherapy in the treatment of endometriosis across the lifespan

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Published in Expert Opinion on Pharmacotherapy, 2020

Kaia Schwartz, Natalia C. Llarena, Jenna M. Rehmer, Elliott G. Richards, Tommaso Falcone

In these patients with suspected disease recurrence, a biopsy is recommended to rule out malignancy. Consideration should also be given to ovarian remnant syndrome, particularly when FSH levels are above 30. Once endometriosis has been confirmed, depending on the size and presenting symptoms, excisional surgery may be warranted. Aromatase inhibitors can also be helpful in these patients [77] (Figure 2).

Ovarian remnant syndrome

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