Antenatal diagnosis of ovarian cysts: natural history and therapeutic implications

Garel, Laurent; Filiatrault, D; Brandt, Mary L.; Grignon, Andrée; Boisvert, Jonathan; Perreault, Gilles; Patriquin, H

doi:10.1007/bf02011042

Cited by 35 publications

(21 citation statements)

References 5 publications

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“…These are the most common comprising 97% of fetal-neonatal ovarian cysts 2 and including simple cysts, corpus luteal cysts and cystadenomas, (b) granulosa cell tumors, (c) benign cystic teratoma and (d) mesonephroma. Ovarian graafian follicles begin to appear at the fourth month of gestation life and increase in size and number after that.…”

Section: Denouement and Discussionmentioning

confidence: 99%

“…However, this rarely occurs and cesarean section is mostly a theoretical consideration. 2 Complications of ovarian cysts include torsion, infarction, hemoperitoneum, cyst rupture, intestinal obstruction, incarceration in inguinal hernia, polyhydramnios, dystocia and death from shock due to rupture. 6,7 There are four sonographic appearances of Neonatal follicular ovarian hemorrhagic cyst TE Herman and MJ Siegel fetal-neonatal ovarian follicular cysts: 4 (a) entirely cystic, (b) cystic with debris fluid level, (c) organizing cyst, which can appear solid sonographically and (d) cyst with septations.…”

Section: Denouement and Discussionmentioning

confidence: 99%

“…Cysts followed sonographically usually involute, that is, they are no longer sonographically visualized between 2 weeks and 6 months after delivery. 2 Simple cysts that are larger than 5 cm in maximum diameter are at risk of torsion. The risk of torsion is between 50 and 78%.…”

Section: Denouement and Discussionmentioning

confidence: 99%

“…The risk of torsion is between 50 and 78%. 2 Several authors have recommended cyst aspiration under sonographic guidance to confirm the ovarian origin by hormonal levels and to reduce the risk of torsion.…”

Section: Denouement and Discussionmentioning

confidence: 99%

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Neonatal follicular ovarian hemorrhagic cyst

Herman

Siegel

2007

J Perinatol

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Case presentation A pregnant 21-year-old gravida 2 para 0 woman had a pelvic-fetal magnetic resonance imaging (MRI) because of sonographic detection of a fetal abdominal mass. The MRI was performed at 38 weeks of gestation and demonstrated a complex large right-sided abdominopelvic mass (Figure 1). The child was delivered by normal vaginal delivery 4 days later. The child at birthweighed 3205 g and had apgars of nine both at 1 and at 5 min after delivery. An abdominal-pelvic sonogram was performed on the day of birth, which confirmed the presence of a complex abdominopelvic mass ( Figure 2). The next day,the child was taken to the operating room. Denouement and discussionLaparotomy revealed right adnexal torsion, an infarcted right fallopian tube and ovary, and a large hemorrhagic ovarian cyst.Ovarian cysts occurring in fetuses and newborn girls are of four different types: 1 (a) benign cysts of graafian epithelial origin. These are the most common comprising 97% of fetal-neonatal ovarian cysts 2 and including simple cysts, corpus luteal cysts and cystadenomas, (b) granulosa cell tumors, (c) benign cystic teratoma and (d) mesonephroma. Ovarian graafian follicles begin to appear at the fourth month of gestation life and increase in size and number after that. The etiology of simple ovarian cyst in the neonate is not certain. However, it presumably represents disordered folliculogenesis, perhaps complicated by abnormal hormonal levels, especially excessive human chorionic gonadotropin. 1,3 An association between elevated levels of human chorionic gonadotropin and slightly increased incidence of ovarian cysts has been reported in infants of diabetic mothers.Many ovarian cysts are now detected on prenatal sonograms. They have been found in fetuses as early as 19 weeks of gestation. These cysts have varied in size from 2.5 to 10 cm in largest diameter, 4 although the maximum reported was 20 cm in The mass is cystic but contains fluid, which is darker than urine on the T2 weighted images and brighter than urine on the T1 weighted images. This might indicate a cyst complicated by intra-cystic hemorrhage.

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Section: Denouement and Discussionmentioning

confidence: 99%

Section: Denouement and Discussionmentioning

confidence: 99%

Section: Denouement and Discussionmentioning

confidence: 99%

Section: Denouement and Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Neonatal follicular ovarian hemorrhagic cyst

Herman

Siegel

2007

J Perinatol

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“…Of course, this 'daughter cyst' sign can be asserted only if a normal fetal bladder is clearly identified; indeed the main differential diagnosis is the existence of an ureterocele, which can present as a very similar image 12 . As far as pathophysiology is concerned, this 'daughter cyst' sign might be explained by the hormonal dysfunctions responsible for the genesis of follicular and luteinic cysts, which are the most common 13 .…”

Section: The 'Daughter Cyst Sign': a Sonographic Clue To The Diagnosimentioning

confidence: 99%

The ‘daughter cyst sign’: a sonographic clue to the diagnosis of fetal ovarian cyst

Quarello

Gorincour

Merrot

et al. 2003

Ultrasound in Obstet & Gyne

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Sonographic findings of prenatal torsion of ovarian lymphangioma

Park

Lee

Kim

et al. 2005

J. Clin. Ultrasound

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Ovarian cysts are primarily of follicular origin, and ovarian lymphangioma is an extremely rare lesion. Most ovarian cysts demonstrated on prenatal sonograms are asymptomatic and resolve antenatally. We report a case of ovarian torsion in utero secondary to an ovarian lymphangioma in which sonographic examination revealed a changing pattern of the cystic ovarian mass from an anechoic to echogenic appearance.

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Antenatal diagnosis of ovarian cysts: natural history and therapeutic implications

Cited by 35 publications

References 5 publications

Neonatal follicular ovarian hemorrhagic cyst

Neonatal follicular ovarian hemorrhagic cyst

The ‘daughter cyst sign’: a sonographic clue to the diagnosis of fetal ovarian cyst

Sonographic findings of prenatal torsion of ovarian lymphangioma

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