Four Neonatal Complex Ovarian Cyst Cases with Uncommon Complications

Abstract

With the wide common use of ultrasound, ovarian cysts of the fetus and neonate are more often detected. A case series of four infant with uncommon complications of antenatal ovarian cysts were presented. In the first case; autoamputated ovarian tissue was determined and disappeared during the follow up. The second and third case went under surgery. Histopathological results were reported as a torsional autoamputated hemorrhagic necrotic tuba-ovarian cyst. Abdominal ascites was determined postnatally due to rupture of neonatal ovarian cyst in the fourth case. The treatment approaches for ovarian cysts poses a therapeutic dilemma for the pediatrician and the pediatric surgeon. It has to be decided which patient should be referred for surgical therapy and which might be treated conservatively.

Keywords

• Autoamputation
• complex ovarian cyst
• neonate