An interesting case of intrauterine torsion of ovarian cyst in a female fetus (original) (raw)
Related papers
Fetal ovarian cyst torsion: Antenatal evaluation and management
Bezmialem Science, 2015
Routine antenatal care is rendered more effective if some extra care is spent on the general anatomical development of the fetus even in the last few weeks approaching term, when some previously unsuspected pathologies can be detected and appropriately managed. In this case, we present the case of a patient in her 35 th gestational week. The fetus was suspected to have an ovarian cyst, and the patient was therefore referred to our hospital. By means of Doppler ultrasound examination, a fetal ovarian cyst torsion was diagnosed, and delivery was expedited to enable the pediatric surgeon to operate on the newborn. The diagnosis was confirmed at the operation, and the ovary was salvaged with a successful cystectomy.
Torsion of in-utero fetal ovarian cyst
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022
A 22 years old primi-gravida was diagnosed to have a 6.3×5×5.37 cm hemorrhagic gonadal cyst in fetus at 38 weeks of gestation by growth scan, on follow-up. At term gestation, she delivered a female baby by vacuum assisted vaginal delivery, weighed 2.86 kg, no other anomalies. X-ray done at 1st hour of life showed mass on the right side. USG abdomen done showed an intraperitoneal cystic lesion (5.7×3.9×6.3 cm) in right lumbar quadrant of abdomen and pediatric surgeon was consulted. Baby taken for diagnostic laparoscopy on second day of life. Findings were right large ovarian cyst with torsion with adhesions to small bowel. 75 ml of hemorrhagic fluid drained and ovarian cystectomy done, sample sent for histopathological examination, turned out to be a simple cyst. Baby discharged on day 7 of life (POD-5), hemodynamically stable and on direct breast feeding, tolerated well.
A case report: Neonatal torsional ovarian cyst
SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2018
The majority of abdominal masses detected in the neonatal period are benign (85%) and usually originate in the urinary tract (50%), genital system (15%), gastrointestinal system (15%), or the hepatobiliary tract (5%). Ovarian cysts comprise one-third of the masses with a genital origin. Presently described is a case of an ovarian cyst that developed during the antenatal period and transformed into a hemorrhagic cystic mass as a result of torsion. A female infant born at 37 weeks of gestation with the prediagnosis of nephroma was admitted to the neonatal intensive care unit. Abdominal ultrasonography revealed a smooth cystic mass approximately 50x45x35 mm in size in the left upper quadrant that was not associated with the kidney. Magnetic resonance imaging revealed a 55x44x49-mm cystic mass in the left adnexal region containing multiple septations that were not enhanced with contrast material, and the mass was then interpreted as a hemorrhagic fetal ovarian cyst. The left ovary, compromised by 2 full torsions, was removed during a laparoscopy performed on the postnatal seventh day. The infant was subsequently discharged without complications. It should be kept in mind that cystic masses detected in the prenatal period may be of ovarian origin. An appropriate follow-up and treatment should be planned according to the size of the ovarian cyst and the clinical findings.
International Surgery, 2015
Cystic and solid tumors of the ovary are rare during the newborn period and infancy. We present the case of a term female infant born to a mother of 28 years of age and found to have a cystic abdominal mass through prenatal sonographic evaluation in the third trimester. The complex cyst was also demonstrated by postnatal abdominal ultrasonography. Laparotomy revealed a large cystic mass with a torsed right ovary. Pathologic examination of cyst revealed hemorrhagic necrosis with ovarian torsion.
Fetal ovarian cyst . a case report Quiste ovárico fetal . reporte de un caso
2020
Cite as: Monzón Castillo EP, Tejada Martínez G, Gutiérrez Salas N. Fetal ovarian cyst. A case report. Rev Peru Ginecol Obstet. 2020;66(4). DOI: https://doi.org/10.31403/ rpgo.v66i2290 ABSTRACT Ovarian cysts are the most common abdominal tumors in female newborns. Among the acute and long-term complications, the most frequent is the adnexal torsion, which is difficult to recognize in the neonatal stage. Prenatal diagnosis is essential for the timely management of patients and ultrasound monitoring of adnexal cysts. There are different therapeutic alternatives where minimally invasive and conservative surgery plays an important role.
Torsion of a benign ovarian cyst in the third trimester of pregnancy: a case report
Cumhuriyet medical journal, 2009
Adnexal torsion in advanced pregnancy is an uncommon emergency. It is uncommon for a normalsized ovary to undergo torsion in advanced gestation. Presenting symptoms include severe abdominal pain, followed rapidly by maternal shock and fetal distress. A 34 years-old woman at 34 weeks gestation (gravida 5, para 4) was admitted with abdominal pain, vaginal bleeding, fever, and vomiting. On examination, in the right lower abdomen, an amorphous, predominantly hyperechogenic mass was found. Laparotomy revealed, however, that the right ovary was gangrenous and had undergone torsion. Adnexal torsion should be kept in mind in the differential diagnosis of lower abdominal pain in advanced gestation. An early diagnosis using Doppler ultrasonography of the adnexa will enable early intervention to prevent maternal shock and fetal distress.
Imaging Findings of Fetal-Neonatal Ovarian Cysts Complicated With Ovarian Torsion and Autoamputation
American Journal of Roentgenology, 2015
etal ovaries are subject to the development of cysts owing to the hormonal environment associated with gestation. Increased detection of ovarian cysts during the antenatal period has resulted from improvements in imaging techniques. Most fetal ovarian cysts are small, simple cysts that resolve spontaneously after birth, when the influence of maternal hormones gradually declines. However, larger cysts, which we have defined as nonresolving cysts measuring more than 5 cm, are at risk for complications that include torsion, mass effect, rupture, intracystic hemorrhage, and autoamputation. Torsed cysts can cause a diagnostic dilemma and possible complications such as intestinal obstruction [1]. Therefore, imaging evaluation is very important in the differential diagnosis of ovarian cysts. In the literature, intrauterine ovarian torsion has been reported from clinical or surgical perspectives but
Prenatal diagnosis of fetal ovarian cyst: case report and review of the literature
Journal of the Turkish German Gynecological Association, 2013
Foetal ovarian cysts are the most frequently encountered intra-abdominal cystic masses diagnosed prenatally. The aetiology of foetal ovarian cysts is still unknown, but hormonal stimulation is generally considered to be responsible for the disease. The diagnosis is made by the exclusion of other cystic lesions confined to the foetal abdomen. In this article we report antenatally-detected foetal ovarian cyst with a review of the available literature. Antenatal ultrasonography (USG) revealed an abdominal cystic mass 41x33 mm in diameter in a 33-week gestation female foetus. The normal anatomy of other foetal abdominal organs suggested that an ovarian cyst was the most likely diagnosis. In the antenatal follow-up period, the cyst diameter increased with time. After delivery, USG scan confirmed the antenatal findings. Due to abdominal distension and respiratory distress, ovarian cystectomy was performed on the second postnatal day. The histopathological evaluation of the surgical material reported a serous cystadenoma of the ovary with non-malignant properties.
Fetal Ovarian Cyst—A Scoping Review of the Data from the Last 10 Years
Medicina
Abdominal cystic masses are diagnosed during the intrauterine period and have a relatively low incidence. Fetal ovarian cysts are the most common form diagnosed prenatally or immediately after birth. The pathophysiology of the development of these types of tumors is not fully elucidated, with ovarian hyperstimulation caused by maternal and placental hormones being the most accepted hypothesis. During intrauterine development, the diagnosis of fetal ovarian cysts is most often made accidentally during usual check-up ultrasounds corresponding to the first, second, and third trimesters of pregnancy. We conducted a scoping review with the aim to map the current knowledge regarding the treatment of fetal ovarian cysts diagnosed in the intrauterine period. Focusing on the articles published in the last 10 years in the specialized literature, we tried to identify a conceptualization regarding the surveillance and treatment of these anomalies.