Author(s)

David J. DeWitt, Kathleen Eyster, Keith A. Hansen

Division of Basic Biomedical Sciences, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Vermillion, USA.
PGY-1 Obstetrics and Gynecology, Grand Rapids Medical Partners, Grand Rapids, USA.
Sanford Women’s Health, Department of Obstetrics and Gynecology, Sanford School of Medicine, The University of South Dakota, Sioux Falls, USA.

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.

Ovarian Remnant Syndrome; Ureteral Obstruction; Leuprolide Acetate

J. DeWitt, D. , Eyster, K. and A. Hansen, K. (2012) Cyst aspiration with gonadotropin suppression in ovarian remnant syndrome with ureteral obstruction: A case report. Open Journal of Obstetrics and Gynecology, 2, 337-339. doi: 10.4236/ojog.2012.24071.