Abominal exploratory was performed and a left sided ovarian remnant was found. (Fig. 2)
|Fig. 2: ovarian remnant found on Lucky (arrow). |
The left kidney (K) is just cranial to the ovary.
A uterine stump mass was also found. (Fig. 3)
|Fig 3: Uterine stump mass (arrow) on Lucky. |
The urinary bladder (B) has been retracted caudally.
Both the ovary and uterine mass were excised. Histopathology confirmed a normal ovary and a uterine granuloma.
Postoperatively Lucky had an uneventful recovery and her vaginal hyperplasia gradually resolved over a period of a few weeks.
Ovarian remnant syndrome (ORS) is more common than you might think. We will discuss the syndrome in more depth in the next blog.
Many of you made the correct diagnosis on this case.