A case report of a complicated fetal ovarian cyst : case report

Fetal ovarian cysts represent cystic lesions confined to the lower abdomen of a female fetus, when the stomach, bladder and both kidneys appear normal. We report on a rare case of a complicated fetal ovarian cyst measuring approximately 5cm detected at 34 weeks gestation. Based on the sonographic fe...

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Bibliographic Details
Published inThe South African journal of anaesthesiology and analgesia Vol. 18; no. 3; pp. 97 - 100
Main Authors Moodley, S.C., Bhorat, I.E.
Format Journal Article
LanguageEnglish
Published In House Publications 01.08.2008
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Summary:Fetal ovarian cysts represent cystic lesions confined to the lower abdomen of a female fetus, when the stomach, bladder and both kidneys appear normal. We report on a rare case of a complicated fetal ovarian cyst measuring approximately 5cm detected at 34 weeks gestation. Based on the sonographic features a diagnosis of a complicated fetal ovarian cyst (either torsion or haemorrhage or both) was made. A haemorrhagic fetal ovarian cyst and possible torsion was confirmed post delivery at surgery and an oophorectomy had to be performed. Ovarian cysts greater than 4 cm are prone to complicate resulting in compromise of this organ system. Decompression of cysts >4cm in fetuses remote from term may reduce the complication rate of these larger fetal ovarian cysts. An approach to the diagnosis and management of fetal ovarian cysts is presented.
ISSN:1027-9148