Fetal Ovarian Cyst-Changing Ultrasound Appearance and Unanswered Questions

Activity: Talk or presentation types › Poster presentation

Description

Ovarian cysts are the most common intra-abdominal masses in female fetuses, that resolve within the first few months after birth. Rarely fetal ovarian cysts can have complications such as bleeding into the cyst or twisting. Large ovarian cysts can cause polyhydramnios due to compression of the bowel. Surgery may be necessary if there is torsion. We present case series of fetal ovarian cyst, detected prenataly, with different outcomes. Case 1. A 34-year-old woman, G 3, P 2, was first referred at 34+0 weeks due to cystic complex lesion in the female fetal abdomen. On referral complex mass 5.7 × 4.7 cm to the left of the bladder were revealed by ultrasound. During the follow up the size of the tumour enlarged to 65x58 cm, became anechoic. Polyhydramnios, moderate ascites and thick walled intestines without peristaltic was observed. A 2830 g infant was delivered vaginaly after induction of labour with APGAR 7/7. But 16 h later after sudden episode of screaming breathing stopped abruptly and newborn became cyanotic, quickly developed desaturation and bradycardia. Only after explorative laparotomy and left adnexectomy due to ovarian torsion neonate’s condition improved. Case 2. A 31-year-old woman, G 3, P3, was referred at 31+5 weeks for routine 3rd trimester USG. Unilateral, unilocular cyst on the left side of 23X21 mm was confirmed, increased in the size in 2 weeks on follow up, but desapered before labour. Case 3. A female infant of two month age, presented to the emergency department with vomiting and poor weight gain. Transverse laparotomy was performed and revealed the right ovarion torsion, that was unrecognised antenatally. The majority of ovarian cysts are benign and resolve spontaneously in the neonatal period. Acute surgical intervention may be needed only in symptomatic infants. Still health providers face challenges for fetal abdominal cysts. . ". ". "
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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