Álvarez MG

Language: Spanish
References: 19
Page: 1-9
PDF size: 206.10 Kb.

ABSTRACT

Fetal ovarian cysts are the most frequent abdominal tumor in newborns. It is the third cause of intra-abdominal cysts, after those of renal and gastrointestinal systems. Its presence can be suspected on ultrasound when a cystic-like tumor of regular structure located in the lower and lateral part of the abdomen, intestinal tract or urinary tract is observed in a female fetus with no anomalies. They present acute and long-term complications. The most frequent is adnexal torsion that presents diagnostic difficulties in the neonatal stage. Prenatal diagnosis is essential for the timely management. There are different therapeutic alternatives where minimally invasive and conservative surgery are important. The objective of the work is to demonstrate that the early diagnosis of fetal tumors intervenes in the successful outcome. We present the case of a 37-year-old primiparous patient, who had a soft-appearing tumor in the lower right part of the abdomen observed by ultrasound. This corresponded to a clearly identified fetal ovarian cyst and it was separated from the fetal bladder. The patient underwent cesarean section in which a female newborn was obtained. Two days later, the neonatal was minimal-access surgically treated successfully thanks to multidisciplinary management.

REFERENCES

1. Valenti C, Kassner EG, Yermakov V, Cromb A. Antenatal diagnosis of a fetal ovarian cyst. Am J Obstet Gynecol 2012;5:216-9.

2. Grumbach MM, Kaplan SL. Fetal pituitary hormones and the maturation of central nervous system regulation of anterior pituitary function. In: Gluck L. Modern Perinatal Medicine. Chicago, IL, Year Book, 2013, pp 247-256.

3. Armas A, Taboada P, Pradillos J. Tratamiento quirúrgico de los quistes ováricos perinatales. Cir Pediatr 2010;23:225-8.

4. Templeman C. In Training. Ovarian Cysts. J Pediatr Adolesc Gynecol 2004;17:297-8.

5. Brandt M, Helmrath M. Ovarian cysts in infants and children. Semin Pediatr Surg 2005;14:78-85.

6. Akin M, Akin L, Özbek S. Fetal-Neonatal ovarian cysts. Their monitoring and management: retrospective evaluation of 20 cases and review of the literature. J Clin Res Ped Endo 2010;2(1):28-33

7. Noia G, Riccardi M, Visconti D. Invasive fetal therapies: Approach and results in treating fetal ovarian cysts. J Matern Fetal Neonatal Med 2012;25:299-303.

8. Bryant AE, Laufer MR. Fetal ovarian cysts: incidence, diagnosis and management. J Reprod Med 2004;49:329-37.

9. Jafri S, Bree R, Silver T, Ouimette M. Fetal ovarian cysts: sonographic detection and association with hypothyroidism. Radiology 2014,150:809-12.

10. Nussbaum A, Sanders R, Hartman D. Neonatal ovarian cyst: Sonographic-pathologic correlation. Radiology 2013;168:817-21.

11. Hasiakos D, Papakonstantinou K, Bacanu A. Clinical experience of five fetal ovarian cysts: diagnosis and follow-up. Arch GynecolObstet 2008;277:575-8.

12. Bagolan P, Giorlandino C, Nahom A. The management of fetal ovarian cysts.J Pediatr Surg 2012;37:25-30.

13. Koç E, Türkyilmaz C, Atalay Y. Neonatal ovarian cyst associated with intestinal obstruction. Indian J Pediatr 2012;64:555-7.

14. Kasian GF, Taylor BW, Sugarman C. Ovarian torsion related to sudden infant death. Can Med Assoc J 2013;135:1373-5.

15. Widdowson DJ, Cook C. Neonatal ovarian cysts: therapeutic dilemma. Arch Dis Child 2013;63:737-42.

16. Bailez M. Masas anexiales en el recién nacido, periodo peri puberal y teratomas maduros del ovario. Enfoque clínico actual, rol y alcances del tratamiento por video laparoscopia. Rev Med Clin Condes 2009;20:835-9.

17. Bayer AI, Wiskind AK. Adnexal torsion: can the adnexa be saved? Am J Obstet Gynecol 1994;171:1506-10.

18. Galinier P, Carfagna L, Juricic M. Fetal ovarian cysts management and prognosis: a report of 82 cases. J Pediat Surg 2008;43:2004-9.

19. Van der Zee D, Van Seumeren I, Bax K, Röve Kamp, Pull A. Laparoscopic approach to surgical management of ovarian cysts in the newborn. J Pediatr Surg 2014;30:42-4