Why remove, when you can preserve… (Images)

A 4-year-old girl presented for management of malfunctioning peritoneal dialysis catheter (PDC). The patient had an end-stage renal failure due to reflux nephropathy on left solitary kidney. The peritoneal catheter ‘Tenckhoff type’ was inserted by laparotomy 2 months ago. On physical examination at presentation, the abdomen was soft, not distended, and with no erythema at catheter insertion site. A salvage laparoscopy was performed. Bilateral ovarian fimbria were found entrapped in the PDC (Figure 1). A bilateral oophoropexy by fixing the uretero-ovarian ligament to the psoas muscle by a nonabsorbable stitch (Figure 2) and partial omentectomy were performed. Six months postoperatively, the patient had a well-functioning catheter.