Supernumerary Ovary: A Case Report

Abstract

Supernumerary Ovary is a rare incidental diagnosis, which is on the rise due to modern imaging modalities and advent of laparoscopy in Gynecology. It has various clinical implications. It can present like Endometrioma, Fibroma or as papillary serous cystadenocarcinoma. Removal of this additional ovary tends to stay in dilemma, because its follicles can be used in the treatment of infertility and it has malignant potential. Hence, correct diagnosis and prompt decision making is necessary based on the patient age and parity. As in our case, a nulligravida presented with torsion of the ovarian cyst. During Laparoscopic procedure, we noticed that this pathology was from the third ovary as in this case Supernumerary ovary. The removal of the ovary was not done as this patient was undergoing treatment for infertility. Weighing the benefits over risks, patient was counselled for proper follow-up and removal of this Supernumerary ovary following completion of family. All gynecologists should be aware of this rare condition due to its clinical implications and its appropriate management. Keywords: Supernumerary Ovary, Ovarian Torsion, Malignant potential, Fertility, Incidental diagnosis