Autoamputation of ovarian cyst in an infant

Minimally invasive surgery for ovarian cysts in children

“…The appearance of a complex cyst with debris on ultrasonography, presence of large simple cysts (> 4 cm), multiloculations, and persistent symptoms indicate surgical intervention because of the presumed risk of complications [7,20,21], such as torsion of the cyst on its own pedicle [7,22,23]. These complications usually occur in cysts with a diameter of more than 5 cm [4,24].…”

“…The laparoscopic approach allows visualization of the other ovary and the whole abdominal cavity and pelvic area for coexistence of associated pathologies. In addition, laparoscopy allows the surgeon to perform a therapeutic maneuver, to untwist a gonad in case of torsion, to resect the cyst wall in cases of well-preserved ovarian parenchyma, or to perform an ovariectomy or an adnexectomy if the parenchyma is damaged [4,21,26]. The laparoscopic approach for ovarian cysts in newborns was reported to be easy to learn and is a safe and reliable method [27,28].…”

Laparoscopic management of ovarian cysts in newborns

“…Therefore, we believe echo-guided puncture of a cyst carries a rather high risk of iatrogenic injury, which could remain undetected at echographic evaluation. In addition, the laparoscopy allows the surgeon to perform a therapeutic maneuver, to untwist a gonad in case of torsion, to resect the cyst wall in cases of well-preserved ovarian parenchyma or, if the parenchyma is damaged, to perform an ovariectomy or an annexectomy [2,12].…”

Sonographic findings of prenatal torsion of ovarian lymphangioma

“…3,7,8 Antenatal diagnoses of ovarian cysts have increased with the routine use of obstetrical sonography to detect fetal abnormalities. 9 Ovarian cysts are primarily of follicular origin and may be secondary to excessive maternal human chorionic gonadotropin or fetal follicle-stimulating hormone. 10,11 It appears that small cystic lesions in neonatal ovaries are encountered more frequently than previously appreciated.…”