Karýnda yer deðiþtiren kitle, torsiyone over kisti

Amaç: Over kistleri, yenidoðan döneminde sýk görülen batýn içi kitle nedenleri arasýnda yer almaktadýr. Over kistlerinin görülme sýklýðý 2500 canlý doðumda bir olarak bildirilirken en sýk görülen komplikasyonlarý torsiyon ve kanamadýr. Tedavide fetal over kistleri genellikle kendiliðinden gerilerken komplike olgularda acil cerrahi giriþim hayat kurtarýcý olmaktadýr. Yaþamýn ikinci gününde acil laporoskopik tedavi gereksinimi olan ve over torsiyonu tanýsý alan olgumuz, yer deðiþtiren torsiyonun nadir görülmesi nedeniyle sunuldu.
Olgu: Prenatal takiplerinde karýn içi kistik kitle, duodenal atrezi ve mezenter kisti þüphesi olan olgumuz, taný ve tedavinin planlanmasý için kliniðimize yatýrýldý. Öz geçmiþinde 38 gebelik haftasýnda, 2700 g aðýrlýklý kýz bebek, normal vajinal yolla doðmuþtu. Yapýlan incelemelerinde sol alt kadranda kistik lezyon (5,3x4cm) saptandý. Bir gün sonra karýn BT ile detaylý deðerlendirmeye alýnan hastada sað üst kadranda kistik lezyon saptandý. Kistik kitlenin yer deðiþtirmesi ayýrýcý tanýda mezenter kisti ve over torsiyonu olarak deðerlendirildi. Laparoskopik laparotomide sol over torsiyonu olduðu belirlendi. Postoperatif üçüncü gününde hasta ek sorun olmadan taburcu edilidi.
Sonuç: Yenidoðan döneminde batýn içerisinde saptanan kistik lezyonlarda over kisti düþünülmelidir. Over kistinin torsiyonu durumunda karýn içerisinde yer deðiþtirebileceði unutulmamalýdýr. (SETB-2022-10-216)

A displaced mass in the abdomen, torsioned ovary cyst

Objective: Ovarian cysts are one of the common pathologies in the infancy period. The incidence of ovarian cysts is reported as one in 2500 live births. The most common complications are torsion and bleeding. Fetal ovarian cysts usually regress spontaneously in treatment and emergency surgical intervention is life saving in complicated cases. Our case, who needed urgent laparoscopic treatment in second days of life and was diagnosed with ovarian torsion, is presented because of the rarity of displaced torsion.
Case: Our case with suspected intraabdominal cystic mass, duodenal atresia and mesenteric cyst during prenatal follow-up was admitted to our clinic for diagnosis and treatment. In her medical history, a female baby with a weight of 2700 g was born at 38 weeks of gestation by normal vaginal delivery. In the examinations, a cystic lesion (5.3x4cm) was detected in the left lower quadrant. The cystic lesion was detected in the right upper quadrant of the patient, who was evaluated in detail with abdominal tomography one day later. The displacement of the cystic mass was evaluated as a mesenteric cyst and an ovarian torsion in the differential diagnosis. Laparoscopic laparotomy revealed left ovarian torsion. The patient was discharged on the postoperative third days without any additional problems.
Conclusion: Ovarian cyst should be considered in cystic lesions detected in the abdomen in the neonatal period. It should be kept in mind that in case of torsion of the ovarian cyst, it can move in the abdomen.