“…The time elapsed since the appearance of sonographic signs of intracystic hemorrhage is important because when it is longer than 1 or even 2 weeks, there is a considerable possibility that the ovaries are no longer functional 5 , 6 . In this case, surgery is unnecessary, but it is essential that the child be monitored both clinically and sonographically to detect any ovarian tumor or intestinal occlusion or perforation due to adhesion of the necrotic tissue to the bowel 5 , 6 . Intervention is required only after months or years of an incompletely resolved mass or persistence of a calcified structure 6 , 8 , 9 .…”