Unilateral absence of fallopian tube and ipsilateral ovary is a rare event with very few mentions in the literature. The etiology is usually auto amputation of the adnexa due to a silent, or sub-acute torsion with resorption of the necrortic adnexa or very rarely may be associated with a congenital malformation early in intrauterine life which coexists with a unicornutae uterus, ipsilateral renal malformations and also absence of the ipsilateral utero ovarian and round ligament.
Figure 1: Posterior view of the uterus.
Figure 2: Right lateral view. Bald right lateral surface of the uterus.
Routine inspection of adnexal structures during all cesarean sections and laparotomies is recommended. Such patients may also be discovered during workup for infertility or chronic pelvic pain. Once diagnosed with the condition, the patient must be further investigated to find associated renal anomalies by ultrasonography, IVP and/or MRI.
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Maurya NR, Gupta AS. A Case Of Unilateral Complete Absence Of Fallopian Tube And Ovary JPGO 2015. Volume 3 No. 1. Available from: http://www.jpgo.org/2016/01/a-case-of-unilateral-complete-absence.html