Trotman Gylynthia E, Zamora Melodie, Gomez-Lobo Veronica
Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Georgetown University Hospital/Children's National Medical Center, Washington, DC.
Georgetown University School of Medicine, Washington, DC.
J Pediatr Adolesc Gynecol. 2014 Apr;27(2):107-10. doi: 10.1016/j.jpag.2013.06.019. Epub 2013 Sep 26.
Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate.
We report 2 cases of abdominal masses that were diagnosed in the antenatal period and were clinically consistent with auto-amputated adnexa followed with serial ultrasonography until resolution.
To our knowledge this is the first report in the literature to document resolution of 2 pelvic masses due to auto-amputated adnexa with expectant management. This suggests expectant management is an appropriate alternative to surgical management in carefully selected cases.
