COMMENT

 

Ovarian remnant syndrome is a recognized complication of difficult oophorectomy.  Three major factors predispose the surgeon to leaving an ovarian remnant at the time of the surgery.  These include increased vascularity causing difficulty in achieving hemostasis, pelvic adhesions, and alterations in anatomy as seen with neoplasms.  In reviewing the literature the most frequent preexisting diseases or conditions at the time of original surgery include endometriosis, pelvic inflammatory disease, inflammatory bowel disease, uterine and ovarian tumor, and prior abdominal surgery, most commonly appendectomy.  Our study population all had significant risk factors that easily predisposed the surgeon to leaving behind an ovarian remnant at the time of bilateral oophorectomy¹.