Neonatal Ovarian Torsion

Guileyardo, Joseph M.

doi:10.1001/archpedi.1982.03970460075017

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…In our study, three infants had bilateral OCs, but none developed bilateral torsion; nevertheless, such event has been reported (Corbett and Lamont, 2002). Although synchronous neonatal bilateral ovarian torsion has been rarely reported (Guileyardo, 1982;Corbett and Lamont, 2002), asynchronous bilateral ovarian torsion in older children and adults has been reported in several publications (Eckler et al, 2000;Ozcan et al, 2002;Aziz et al, 2004;Beaunoyer et al, 2004). The prevalence of women with a solitary ovary in the general female population or in the subfertile group has been scarcely investigated.…”

Section: Long-term Outcomecontrasting

confidence: 51%

Fetal and neonatal ovarian cysts: is surgery indicated?

et al. 2008

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Objectives To evaluate the frequency of ovarian torsion in neonates with ovarian cysts (OCs) and to analyze the outcome after surgical treatment.Methods A retrospective review of all infants with OCs managed in our institution during 20 years, was conducted. Our management included a follow-up (FU) of prenatal serial ultrasound (US) scan without prenatal cyst aspiration and early postnatal US scan. Neonatal surgery was indicated for cysts that appeared complex regardless of size and for simple cysts larger than 20 mm.Results Sixty-seven OCs detected through prenatal diagnosis were identified. Cysts were detected at a median gestational age (GA) of 33 weeks. At diagnosis, median size of the OCs was 40 mm, and 18% were complex. On the postnatal US scan, 55% were complex. Neonatal surgery was performed for 64 OCs : 56% were torsed, 6% were hemorrhagic, and 38% were uncomplicated. Proportions of complex-and simple-appearing cysts on prenatal or postnatal US scan were the only significantly different parameters found between infants with torsed or not torsed OC. ConclusionOur study demonstrated that OC bears a high risk of ovarian loss. These findings have implications regarding information and treatment offered to pregnant women bearing an affected fetus.

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Section: Long-term Outcomecontrasting

confidence: 51%

Fetal and neonatal ovarian cysts: is surgery indicated?

et al. 2008

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“…These include haemorrhage [26] , rupture causing haemorrhagic ascites [2] , cecal perforation [27] and bleeding diathesis leading to death from intracerebral haemorrhage [28] , as in one of our cases. Acute neonatal cyst torsion may also present with an acute abdomen [1,2] and can result in death [29,30] . Thus elective resection was always advocated in the pre-sonography era [1] and this policy may still be advocated [5,6] .…”

Section: Simple Neonatal Cystsmentioning

confidence: 99%

Is Conservative Management of Prenatal and Neonatal Ovarian Cysts Justifiable?

Foley¹,

Ford²,

McEwing

et al. 2005

Fetal Diagn Ther

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Objectives: To evaluate conservative management of fetal and neonatal ovarian cysts. Methods: We followed the progress of 11 fetal and 2 neonatal ovarian cysts. Results: Ten fetal cysts were simple at recognition, but 8 silently became complex by birth, with ovarian loss in 6/11 cases (54%). In 2 cases where large simple cysts presented for the first time at birth, serious complications occurred, resulting in the death of 1 newborn. Conclusions: If a fetal ovarian cyst is already complex before birth it can be managed conservatively, albeit with loss of the ipsilateral ovary in the majority of cases. As simple fetal ovarian cysts frequently become complex before birth, intervention may be justifiable to preserve the ovary. But any intervention also has the potential for complications, and may be ineffective. Intervention also requires accurate differentiation of ovarian cysts from other abdominal cysts.

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“…46 In one study of children, up to half the torsions occurred in infants less than eight months old, 41 but torsion of normal adnexa in neonates is uncommon, with only two reported cases, in infants who were one and four months of age. 47,48 In most cases of torsion in fetuses and neonates, the ovary contains a follicular cyst. 38 D R .…”

Section: P Athological Discussionmentioning

confidence: 99%

Case 6-1995

Benacerraf¹,

Eichhorn²

1995

N Engl J Med

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A one-month-old girl was admitted to the hospital because of an intraabdominal mass.After a 42-week gestation, the infant had been delivered by cesarean section because of cephalopelvic disproportion. There were no complications during the pregnancy or delivery. A routine ultrasonographic examination ( Fig. 1), performed during the 28th week of pregnancy, showed a multiseptated cystic mass in the midabdomen. An ultrasonographic study during the 29th week of pregnancy showed the same mass slightly to the left of the midline. Another prenatal ultrasonographic examination at 30 weeks also showed the cystic abdominal mass near the midline. The infant weighed 3.76 kg at birth. She was fed a commercial formula with iron and was healthy from birth, although her parents described her as "colicky." Occasional constipation was noted; she did not vomit. Thirteen days before admission a computed tomographic (CT) scan of the abdomen (Fig. 2) revealed a cystic mass, 5 by 5 cm, that displaced the bowel to the left side and appeared to be unrelated to the genitourinary system or the liver. She was admitted to the hospital.The heart rate was 160, and the respirations were 24. The weight was 4.15 kg.On physical examination the infant appeared well. The head was normal, and the neck was supple. The lungs and heart were normal. The abdominal examination was normal; no organs or mass was felt. The external genitalia were normal, and rectal examination disclosed no pelvic or sacral mass. The neurologic examination was normal.The hematocrit was 34.9 percent, the white-cell count 13,200 per cubic millimeter, and the platelet count 505,000 per cubic millimeter. The mean corpuscular volume was 84 m m 3 .A diagnostic procedure was performed.

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Neonatal Ovarian Torsion

Cited by 4 publications

References 4 publications

Fetal and neonatal ovarian cysts: is surgery indicated?

Fetal and neonatal ovarian cysts: is surgery indicated?

Is Conservative Management of Prenatal and Neonatal Ovarian Cysts Justifiable?

Case 6-1995

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