Correlation between the Length of Ovarian Ligament and Ovarian Torsion: A Prospective Study.

STUDY OBJECTIVE: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion. DESIGN: This is a prospective cohort study. Design Classification: II.2. SETTING: The study was conducted in the gynecology department of a university affiliated hospital. INTERVENTION: We measured the length of the ovarian ligaments during laparoscopy. PATIENTS: A total of 56 women were recruited, of which 28 women were operated for ovarian torsion (torsion group) and 28 others for other gynecologic conditions (control group). MEASUREMENT AND MAIN RESULTS: The study found correlations between ovarian ligament length and ovarian torsion. The length of the right (2.2 ± 0.6 cm) and left ovarian ligament (2.3 ± 0.8 cm) in the control patients were similar. Ovarian torsions occurred mainly on the right side (67.9 %). The right ovarian ligament was significantly longer in the torsion group (3.2 ± 0.9 cm) than in the control group (2.2 ± 0.6 cm; p < 0.001). Even after exclusion of patients with ovarian cyst, the ovarian ligament was still significantly longer in the torsion group as compared to the control group (3.2 ± 1.1 vs. 2.2 ± 0.6 cm respectively, p = 0.01). CONCLUSION: Our results suggest that increased length of ovarian ligament might be correlated with the development of ovarian torsion. This could be a basis for ovarian ligament fixation or oophoropexy at the time of conservative surgery for ovarian torsion.

Inflammatory skin metastases from ovarian carcinoma--a case report and review of the literature.

BACKGROUND: Skin metastases from ovarian carcinoma are rarely reported. Most cases present as cutaneous nodules, generally as periumbilical Sister Joseph's nodules. An uncommon presentation of cutaneous metastases from ovarian epithelial carcinoma is the inflammatory pattern, which mimics herpetiform lesions to the skin. CASE: A 48-year-old patient with refractory ovarian carcinoma, complicated by groin lymph node metastatic disease developed edema, in the form of "Peau d'orange," over the lower abdominal skin, the upper aspects of the lower extremities, and the gluteal skin. Large areas of multiple erythematous vesicular appearance that resembled herpes zoster lesions were noted. Biopsy of the skin lesions revealed ovarian skin metastases. CONCLUSIONS: The diagnosis of ovarian skin metastases is uncommon. It mimics inflammatory viral infection as herpes zoster lesions. Supportive care is needed due to painful presentation.