No abstract

Re: Management of ovarian cysts in children and adolescents Dear Editor,We read with interest the review article by Potdar, Pillai and Oppenheimer 1 on the management of ovarian cysts in children and adolescents. We would like to share our experience of a rare case of autoamputation of an ovarian cyst in a 30-year-old nullipara who presented with a 3-day history of lower abdominal pain. A free floating blue-black autoamputated 9 cm cyst (see Figure 1) was found in the left abdomen on laparoscopy. The histology confirmed a serous cystadenoma with partial salpingectomy.This rare presentation resulted most likely from torsion of the cyst at the time of presentation. While reviewing the literature to understand the prevalence of ovarian autoamputation (OA) in adults, we were surprised to find

This case report describes a right-sided borderline ovarian tumour diagnosed unexpectedly following suspected torsion in the third trimester of pregnancy. The patient had had a right mucinous cystadenoma and left serous cystadenoma in her previous pregnancy and underwent bilateral ovarian cystectomy at the time of her first elective caesarean section. The management of borderline ovarian tumours is generally difficult in younger women of reproductive age and is made more complex by pregnancy. The authors share the challenges of managing this condition in pregnancy together with a review of the literature.