Inguinal ovary after controlled ovarian hyperstimulation--infrequent, infrequently recognized, or observer variation?

摘要

Having read the case report by Idil et al. (1) concerning the detection of an inguinal ovary during controlled ovarian stimulation, we feel obliged to communicate the following remarks.The authors claimed that Ombelet et al. (2) reported "eight primary infertility cases with ectopic ovaries that were detected while performing a controlled ovarian hyperstimulation (COH)." In fact, the cited article describes five cases of unilaterally undescended ovaries, that is, at or above the pelvic brim, among eight women with primary infertility and a unicornuate uterus. There is actually only one previous case report, not referred to by the authors, describing a left inguinal ovary discovered on the seventh day of an ovarian stimulation cycle for IVF (3).