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Large prepubertal ovarian cyst
  1. B J Buckley1,
  2. S Ulrich2
  1. 1
    Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California, USA
  2. 2
    Division of Emergency Medicine, Children’s Hospital, San Diego, California, USA
  1. byron_buckley{at}

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A 9-year-old girl presented to the paediatric emergency department with cramping pain in the lower abdomen that began while jumping on a trampoline. The child had been having sporadic episodes of similar pain for the past 3 months. On examination she was afebrile and reluctant to move. She had tenderness to palpation throughout the suprapubic region. Her urinalysis, complete blood count and metabolic panel were unremarkable. A CT scan showed an 8×13 cm ovarian cyst (fig 1). The patient underwent uncomplicated laparoscopic removal of this large benign ovarian cyst.

Figure 1 Coronal reconstruction of a contrast-enhanced abdominal CT scan showing the ovarian cyst superior to the bladder.

Symptomatic ovarian cysts are uncommon in the prepubertal female and can be associated with torsion or malignancy. Except for very large cysts such as this case, most simple cysts can be managed conservatively with a follow-up ultrasound.1


This article has been adapted from Buckley B J, Ulrich S. Large prepubertal ovarian cyst Emergency Medicine Journal 2008;25:118