Single Incision Laparoscopic Ovarian Mobilization for Ectopic Ovary

Joseph Esparaz, MD; Alyssa Mowrer, MD; Anthony Munaco, MD; Charles Aprahamian, MD, FACS; Paul Jeziorczak, MD; Daniel Robertson, MD

Product Details
Product ID: ACS-5905
Year Produced: 2019
Length: 3 min.


Here we present a case of a 15-year-old female with a history of chronic right lower quadrant abdominal pain. The pain was cyclical in nature, occurring monthly. Her prior ultrasounds identified her appendix as normal, and they were unable to visualize her right ovary. Subsequently, she underwent a CT scan with findings significant for an ectopic position of her right ovary in the retrocecal position. She underwent conservative management with oral contraceptives and observation for several months without relief. We therefore performed laparoscopy. Upon entering the abdomen, a triport single incision sleeve was placed. The uterus and right fallopian tube were identified. The fallopian tube was traced to the cecum, helping to identify the right ovary. The right ovary was located in a retrocecal position, outside of the pelvis and over the pelvic brim. The cecum was mobilized off of the retroperitoneum to expose the ovary. The lateral wall attachments were then dissected, preserving the right ovarian artery but mobilizing it. We identified and protected the ureter throughout. Once free, the right ovary assumed a more natural position within the pelvis. Post operatively, the patient did well. Her chronic abdominal pain resolved. We educated the patient about the possibility of ovarian torsion now that her ovary is more mobile.