A Case Report: Neonatal Torsional Ovarian Cyst

The majority of abdominal masses detected in the neonatal period are benign (85%) and usually originate in the urinary tract (50%), genital system (15%), gastrointestinal system (15%), or the hepatobiliary tract (5%). Ovarian cysts comprise one-third of the masses with a genital origin. Presently described is a case of an ovarian cyst that developed during the antenatal period and transformed into a hemorrhagic cystic mass as a result of torsion. A female infant born at 37 weeks of gestation with the prediagnosis of nephroma was admitted to the neonatal intensive care unit. Abdominal ultrasonography revealed a smooth cystic mass approximately 50x45x35 mm in size in the left upper quadrant that was not associated with the kidney. Magnetic resonance imaging revealed a 55x44x49-mm cystic mass in the left adnexal region containing multiple septations that were not enhanced with contrast material, and the mass was then interpreted as a hemorrhagic fetal ovarian cyst. The left ovary, compromised by 2 full torsions, was removed during a laparoscopy performed on the postnatal seventh day. The infant was subsequently discharged without complications. It should be kept in mind that cystic masses detected in the prenatal period may be of ovarian origin. An appropriate follow-up and treatment should be planned according to the size of the ovarian cyst and the clinical findings.

Neonatal torsiyone over kisti: Olgu sunumu

Yenidoðan döneminde görülen abdominal kitlelerin %85'i benign karakterde olup, %50'si renal, %15'i genital, %15’i gastrointestinal ve %5'i hepatobiliyer sisteme aittir. Over kistleri genital kaynaklý kitlelerin üçte birini oluþturmaktadýr. Antenatal dönemde torsiyone olmuþ ve hemorajik kistik kitle haline dönüþmesi nedeniyle nefroma öntanýsý almýþ olan over kisti olgusunu sunmaktayýz.
Olgu:
Prenatal dönemde yapýlan ultrasonografisinde nefroma öntanýsý olan, 37 gebelik haftasýnda doðan kýz bebek ileri tetkik ve tedavi amacýyla yenidoðan kliniðine yatýrýldý. Bebeðin fizik muayenesinde; batýn sol alt kadranda ele gelen kitlesi dýþýnda patoloji saptanmadý. Hematolojik ve biyokimyasal tetkikleri normal sýnýrlardaydý. Batýn ultrasonografisinde sol üst kadranda böbrek ile iliþiði izlenmeyen yaklaþýk 50x45x35 mm boyutunda düzgün sýnýrlý kistik kitle izlendi. Manyetik rezonans görüntülemesinde; sol adneksiyal alanda boyutlarý 55x44x49 mm olan düzgün konturlu içerisinde multipl septasyonlar içeren, kontrast tutmayan antenatal hemorajik torsiyone over kisti olabileceði düþünülen kitle saptandý. Postnatal 7. günde yapýlan laparoskopide, 2 tam tur torsiyone olduðu görülen sol over çýkarýldý. Ýzlemde herhangi bir sorunu olmayan bebek taburcu edildi.
Sonuç:
Prenatal dönemde tespit edilen kistik kitlelerin over kaynaklý olabileceði akýlda tutulmalý, hastanýn kliniði ve over kistinin büyüklüðüne göre uygun takibi ve tedavisi planlanmalýdýr.