Minimally invasive management of the prenatally torsed ovarian cyst.

Abstract

BACKGROUND:

Fetal and neonatal ovarian cysts are detected frequently by ultrasonography. The presence of these lesions can result in adnexal torsion in utero with autoamputation. Historically, these have been removed at laparotomy.

METHODS:

Retrospective chart review was performed at a single children's hospital from October 1996 to September 2001.

RESULTS:

Six cases of torsion of ovarian cysts were removed laparoscopically. Five of the 6 patients had prenatal ultrasound diagnosis. The sixth had the cyst detected incidentally by magnetic resonance imaging (MRI) at 3 months of age. All cysts were complex by ultrasound criteria. All 6 procedures were performed via a 2-port laparoscopic approach. The average age at surgery was 3.7 months (range, 9 days to 7.5 months). There were no postoperative complications. Five patients were discharged on the day of surgery.

CONCLUSION:

Laparoscopy offers a safe, effective, and cosmetic means of managing perinatal torsion of ovarian cysts.

• Authors: Daniel Tseng, Thomas J Curran, Mark L Silen
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 37 Issue 10 Pg. 1467-9 (Oct 2002) ISSN: 1531-5037 [Electronic] United States
• PMID: 12378456 (Publication Type: Journal Article)
• Copyright: Copyright 2002, Elsevier Science (USA). All rights reserved.

Topics

• Female
• Fetal Diseases (diagnosis, pathology, surgery)
• Humans
• Infant
• Infant, Newborn
• Laparoscopy
• Magnetic Resonance Imaging
• Ovarian Cysts (diagnosis, pathology, surgery)
• Prenatal Diagnosis (methods)
• Retrospective Studies
• Torsion Abnormality (diagnosis, surgery)
• Ultrasonography, Prenatal