JUXTAPOSITION OF CONTRALATERAL OVARY AND FALLOPIAN-TUBE TO ALLOW PREGNANCY IN UNICORNUATE UTERINE ANOMALY

Infertile patients who have undergone unilateral oophorectomies or sal pingectomies or those with uterine anomalies may require juxtaposition of a remaining fallopian tube and contralateral ovary. A 28-year-old woman with previous left oophorectomy for endometriosis was found to h ave a left unicomuate uterus during subsequent infertility evaluation. Laparotomy and resection of a right rudimentary horn and juxtapositio n of the left fallopian tube and the right ovary was performed. A larg e endometrioma was also resected from the right ovary. The patient con ceived during the second month postoperatively. A simple procedure for juxtaposing a contralateral fallopian tube and ovary is described. Ca reful evaluation of the pelvic organs should be performed before remov al of an ovary in a young woman.