A Case of Fetal Ovarian Cyst: Prenatal Detection, Postnatal Diagnostic Approach and Outcome
A Case of Fetal Ovarian Cyst: Prenatal Detection, Postnatal Diagnostic Approach and Outcome
Tarih
2017-01-01
Yazarlar
Eroğlu, Derya
Tekant, Gonca
Akhun, Nilay
Kapucuoğlu, Nilgün
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
Acıbadem Mehmet Ali Aydınlar Üniversitesi
Dergi Adı
Özet
ABSTRACT
This paper describes the perinatal and postnatal outcome of a case considered to have a fetal ovarian cyst. At 29
weeks of gestation, routine ultrasound examination showed an anechoic cyst 15x16mm in diameter located in the
abdomen at the left superolateral side of the bladder. The normal fetal anatomy of other abdominal organs and
gender suggested an ovarian cyst as the most likely diagnosis and mesenteric or duplication cyst as differential
diagnosis. Ultrasonographic follow-ups documented an increase in size to 40x22mm by 36 weeks of gestation.
At postnatal 4 months, ultrasonographic scan showed a left-sided complex ovarian cyst 40x39mm in diameter
containing fluid-debris levels and suggesting haemorrhage and/or torsion. At 4.5 months of age laparoscopic
exploration demonstrated a normal right ovary and fallopian tube and a left ovary that had undergone torsion
and remained a cystic structure. A laparoscopic left salpingo-oophorectomy was performed. Pathological
examination demonstrated a microscopic amount of intact ovarian tissue. Fibrosis, dystrophic calcification and
multinucleated cells were observed in the cyst wall, suggesting intrauterin torsion of the ovary. Torsion is one of
the most serious complications that occur more frequently during fetal life than postnatally and may lead to loss
of the gonad.