Yue Wang1, Jingjing Lu2, Lan Zhu3, Rong Chen4, Bo Jiang1, Bo Hou1, Feng Feng1, Zhengyu Jin1. 1. Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Shuaifuyuan No.1, Wangfujing Street, Dongcheng District, Bejing, 100730, People's Republic of China. 2. Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Shuaifuyuan No.1, Wangfujing Street, Dongcheng District, Bejing, 100730, People's Republic of China. cjr.lujingjing@vip.163.com. 3. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Shuaifuyuan No.1, Wangfujing Street, Dongcheng District, Bejing, 100730, People's Republic of China. lan_zhupumch@163.com. 4. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Shuaifuyuan No.1, Wangfujing Street, Dongcheng District, Bejing, 100730, People's Republic of China.
Abstract
PURPOSE: To explore the incidence of abnormally located ovary in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome as compared to a control group with magnetic resonance imaging. METHODS: Pelvic MR images of 83 MRKH patients and 60 age-matched normal females were retrospectively reviewed by two experienced gynecological radiologists in consensus. Characteristics including location of ovary, ovarian volume, and follicle counts were assessed. The incidence of abnormally located ovary was compared between MRKH patients and controls. The ovarian size and follicle counts were compared among three groups: abnormally located ovaries in MRKH patients, eutopic ovaries in MRKH patients, and normal controls. RESULTS: In total, 166 ovaries of 83 MRKH patients and 120 ovaries of 60 control females were evaluated. Thirty-seven ovaries of 23 MRKH patients (28%, 23/83) were abnormally located, whereas 3 ovaries of three control females (5%, 3/60) were located in abnormal positions (P < 0.001). The mean volume was 9.2 ± 6.3 mL of the abnormally located ovaries in MRKH patients, 7.8 ± 4.0 mL of the eutopic ovaries in MRKH patients, and 8.9 ± 4.8 mL in control females (P > 0.05). No obvious differences were observed with regard to follicle counts among the three groups. CONCLUSION: Incidence of abnormally located ovary was significantly increased in patients with MRKH syndrome. Such knowledge is important for infertility treatment, evaluation of pelvic pain, and surgical planning for MRKH patients.
PURPOSE: To explore the incidence of abnormally located ovary in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome as compared to a control group with magnetic resonance imaging. METHODS: Pelvic MR images of 83 MRKHpatients and 60 age-matched normal females were retrospectively reviewed by two experienced gynecological radiologists in consensus. Characteristics including location of ovary, ovarian volume, and follicle counts were assessed. The incidence of abnormally located ovary was compared between MRKHpatients and controls. The ovarian size and follicle counts were compared among three groups: abnormally located ovaries in MRKHpatients, eutopic ovaries in MRKHpatients, and normal controls. RESULTS: In total, 166 ovaries of 83 MRKHpatients and 120 ovaries of 60 control females were evaluated. Thirty-seven ovaries of 23 MRKHpatients (28%, 23/83) were abnormally located, whereas 3 ovaries of three control females (5%, 3/60) were located in abnormal positions (P < 0.001). The mean volume was 9.2 ± 6.3 mL of the abnormally located ovaries in MRKHpatients, 7.8 ± 4.0 mL of the eutopic ovaries in MRKHpatients, and 8.9 ± 4.8 mL in control females (P > 0.05). No obvious differences were observed with regard to follicle counts among the three groups. CONCLUSION: Incidence of abnormally located ovary was significantly increased in patients with MRKH syndrome. Such knowledge is important for infertility treatment, evaluation of pelvic pain, and surgical planning for MRKHpatients.
Entities:
Keywords:
Abnormally located ovary; Magnetic resonance imaging; Mayer–Rokitansky–Küster–Hauser syndrome; Mullerian duct anomalies
Authors: Ioana Anca Stefanopol; Dumitru Marius Danila; Lucreţia Anghel; Alexandru Nechifor; Liliana Baroiu; Georgiana Bianca Constantin; Alin Laurenţiu Tatu Journal: Int J Womens Health Date: 2022-01-11