Sonographic findings of prenatal torsion of ovarian lymphangioma

Abstract

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.

Fetal-Neonatal Ovarian Cysts-Their Monitoring and Management: Retrospective Evaluation of 20 Cases and Review of the Literature

“…Mesenteric, omental and urachal cysts, duplication anomalies, structures or anomalies leading to intestinal or urinary obstruction such as renal cysts, cystic meconium peritonitis, hydrometrocolpos, duodenal atresia, as well as anterior meningocele should be considered in the differential diagnosis of a cystic abdominal mass in a female fetus. Malignant tumors are rare in the neonatal period, but benign cystic teratomas are the most common ovarian tumors (11, 14, 15, 16, 19). Lymphangiomas also are counted among the hamartomatous lesions of the fetal-neonatal ovary (16, 19).…”

“…Malignant tumors are rare in the neonatal period, but benign cystic teratomas are the most common ovarian tumors (11, 14, 15, 16, 19). Lymphangiomas also are counted among the hamartomatous lesions of the fetal-neonatal ovary (16, 19). …”

Neonatal Ovarian Lymphangioma

“…It was first described in 1908 and as of 2009, about 19 cases have been reported in the literature. 4,5 Only one neonatal case was reported. 5 The histogenesis of this tumor is uncertain and controversial, because the tumor is usually silent and is encountered incidentally, for example, via surgery and biopsy.…”

“…4,5 Only one neonatal case was reported. 5 The histogenesis of this tumor is uncertain and controversial, because the tumor is usually silent and is encountered incidentally, for example, via surgery and biopsy. 4 Because of its rarity and lack of specific imaging findings, the diagnosis of ovarian lymphangioma is difficult to make sonographically.…”

Bilateral ovarian cystic lymphangioma with chylous ascitis in pregnancy - a rare case report with review

“…11 A case of ovarian torsion in utero secondary to an ovarian lymphangioma has been reported and laparotomy was performed on the infant after 11 days of life. 20 A case of ovarian cystic lymphangioma in a 72 year old post-menopausal women which was managed laproscopically has also been reported. 21 Aristizabal et al reported a case of lymphangioma that rapidly recurred and spread into adjacent and distant peritoneal organs following oophorectomy.…”