Abstract
Giriş: Over kistleri perinatal dönemde saptanan abdominal kistlerin önemli bir bölümünü oluşturmaktadır. Burada antenatal takibi yapılmayan 35+4 gebelik haftasında doğan kız yenidoğanda saptanan dev over kisti olgusu sunulmaktadır.
Vaka Sunumu: 35+4 gebelik haftası ile prematüre bir kız bebek dünyaya geldi. Fizik muayenesinde sol karında ele gelen kitleye bağlı distansiyon saptandı. Ultrasonografide 73x85 mm boyutlarında kistik bir kitle saptanırken, manyetik rezonans tasavvuru bu lezyonun sol overden kaynaklandığını ve diğer abdominal yapılarla ilişkili olmadığını gösterdi. Postnatal yedinci günde karın şişliğine sekonder solunum sıkıntısı gelişti. Ameliyatta sol overden kaynaklanan dev kistik lezyon over korunarak total olarak çıkarıldı. Histopatoloji benign teka lutein kisti olarak geldi. Hasta postoperatif 10. günde sorunsuz olarak taburcu edildi.
Sonuç: Perinatal dönemde abdominal kistik kitlelerin ayırıcı tanısında over kistleri her zaman akılda tutulmalıdır. Tedavi, konservatif yaklaşımlardan agresif cerrahiye kadar geniş bir yelpazeyi içerir. Karın şişliği, bağırsak tıkanıklığı, solunum sıkıntısı gibi ciddi komplikasyonların önlenmesi için zamanında cerrahi müdahale büyük önem taşımaktadır.
Keywords
References
- 1. Acar DB, Baş EK, Bülbül A, et al. A case report: Neonatal torsional ovarian cyst. Med Bull Sisli Etfal Hosp 2019;53: 430-32.
- 2. Akamine S, Ohtsu K, Kamei N, et al. Management of neonatal ovarian cyst. Hiroshima J Med Sci 2019;68: 7-11. 3. Erol O, Erol MB, İsenlik BS, et al. Prenatal diagnosis of fetal ovarian cyst: Case report and review of the literature. J Turkish-German Gynecol Assoc 2013;14: 119-22.
- 4. Yılanlıoğlu NC, Semiz A, Akpak YK, et al. Fetal ovarian cyst torsion: Antenatal evaluation and management. Bezmialem Science 2016;2: 80-2.
- 5. Akman AÖ, Ertürk N, Altınbaş S. Four neonatal complex ovarian cyst cases with uncommon complications. The Journal of Current Pediatrics 2015;13: 227-30.
- 6. Safa N, Yanchar N, Puligandla P, et al. Treatment and outcomes of congenital ovarian cysts: A study by the Canadian Consortium for Research in Pediatric Surgery (CanCORPS). Ann Surg. 2022; 15: 277: e1130-e1137.
- 7. Rotar IC, Tudorache S, Staicu A, et al. Fetal ovarian cysts: Prenatal diagnosis using ultrasound and MRI, management and postnatal outcome-our centers experience. Diagnostics (Basel). 2021;12: 89.
- 8. Melinte-Popescu AS, Popa RF, Harabor V, et al. Managing fetal ovarian cysts: Clinical experience with a rare disorder. Medicina (Kaunas) 2023; 59: 715.
Abstract
Introduction: Ovarian cysts constitute an important proportion of abdominal cysts detected in the perinatal period. Here, a case of giant ovarian cyst detected in a female neonate born at 35+4 gestational weeks without antenatal follow-up was presented.
Case Presentation: A premature female baby was born with gestational week of 35+4. Her physical examination revealed a distension due to a palpable mass on the left abdomen. Ultrasonography revealed a 73x85 mm cystic mass while magnetic resonance imagination demonstrated that this lesion originated from the left ovary and was not associated with other abdominal structures. A respiratory distress secondary to abdominal distension developed on the postnatal seventh day. In surgery, a giant cystic lesion originating from the left ovary was totally excised by preserving the ovary. Histopathology revealed a benign theca lutein cyst. The patient was uneventfully discharged on the 10th postoperative day.
Conclusion: Ovarian cysts should be always kept in mind in the differential diagnosis of abdominal cystic masses in the perinatal period. Treatment includes a wide spectrum from conservative approaches to aggressive surgery. A timely surgical intervention is of great importance for the prevention of serious complications, such as abdominal distension, intestinal obstruction, and respiratory distress.
Keywords
References
- 1. Acar DB, Baş EK, Bülbül A, et al. A case report: Neonatal torsional ovarian cyst. Med Bull Sisli Etfal Hosp 2019;53: 430-32.
- 2. Akamine S, Ohtsu K, Kamei N, et al. Management of neonatal ovarian cyst. Hiroshima J Med Sci 2019;68: 7-11. 3. Erol O, Erol MB, İsenlik BS, et al. Prenatal diagnosis of fetal ovarian cyst: Case report and review of the literature. J Turkish-German Gynecol Assoc 2013;14: 119-22.
- 4. Yılanlıoğlu NC, Semiz A, Akpak YK, et al. Fetal ovarian cyst torsion: Antenatal evaluation and management. Bezmialem Science 2016;2: 80-2.
- 5. Akman AÖ, Ertürk N, Altınbaş S. Four neonatal complex ovarian cyst cases with uncommon complications. The Journal of Current Pediatrics 2015;13: 227-30.
- 6. Safa N, Yanchar N, Puligandla P, et al. Treatment and outcomes of congenital ovarian cysts: A study by the Canadian Consortium for Research in Pediatric Surgery (CanCORPS). Ann Surg. 2022; 15: 277: e1130-e1137.
- 7. Rotar IC, Tudorache S, Staicu A, et al. Fetal ovarian cysts: Prenatal diagnosis using ultrasound and MRI, management and postnatal outcome-our centers experience. Diagnostics (Basel). 2021;12: 89.
- 8. Melinte-Popescu AS, Popa RF, Harabor V, et al. Managing fetal ovarian cysts: Clinical experience with a rare disorder. Medicina (Kaunas) 2023; 59: 715.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | October 16, 2023 |
| Publication Date | October 16, 2023 |
| Published in Issue | Year 2023 Volume: 4 Issue: Ek Sayı |
Cite
