postheadericon Trapped Ovary Syndrome – Colon And Rectal Surgery

Trapped ovary syndrome is fairly common complication after restorative proctocolectomy in young women. Adhesions that form after ileo-anal trap in the basin of the ovaries and fallopian tubes cover. With each ovulatory cycle, there is release of fluid into the pelvic cavity defined by these adhesions. As the fluid builds up and the cavity expands, patients complain of abdominal pain or pelvic less relevant on the side of the ovary trapped. A CT scan or ultrasound will reveal a cystic lesion in the basin containing no air and no surrounding inflammatory reaction. Operative findings are a cyst containing clear fluid or beige, surrounded by adhesions and attached to the ovary. Treatment involves removal of the roof and the evacuation of the cyst, pelvic adhesiolysis, and the suspension of the ovary to the innominate or iliac fossa with sutures. Trapped ovary syndrome can be prevented by suspending the ovaries at the time of restorative proctocolectomy and the placement of a barrier film adhesion in the basin.

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