Article Text

Reminder of important clinical lesson
Management of ovarian cysts during infancy: autoamputation presenting as a possible pitfall
  1. B Haluk Güvenç1,
  2. Bulent Azman2,
  3. Burak Erkus2
  1. 1
    Anadolu Medical Center, Pediatric Surgery, Cayirova, Anadolu Caddesi, No. 1, Gebze, Kocaeli, 41400, Turkey
  2. 2
    Kocaeli University, School of Medicine, Pediatric Surgery, Kocaeli University, Umuttepe Campus, Kocaeli, 41400, Turkey
  1. B Haluk Güvenç, guvench{at}superonline.com

Summary

The widespread use of routine antenatal ultrasound has relatively increased the frequency of intrauterine diagnosis of ovarian cysts. In utero adnexal torsion may present with subsequent autoamputation in some of these lesions. Prenatal and postnatal ultrasonographic findings, however, may not always be relevant in making the correct diagnosis. The authors report on two cases with prenatally-diagnosed hypoechogenic cystic masses. The cysts failed to resolve after a period of conservative management. A laparoscopic approach revealed ovarian autoamputation presenting as cystic mass. Preoperative ultrasound, abdominal CT and MRI failed to detect the presence of autoamputation. The present report discusses the possibility of an otherwise silent ovarian autoamputation, which may necessitate laparoscopic intervention for correct diagnosis, in neonates presenting with persistent ovarian cysts.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.