Acar Duygu Besnili, Baş Evrim Kıray, Bülbül Ali, Demir Mesut, Uslu Sinan
Department of Neonatal, Istanbul Health Sciences University, Sariyer Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Department of Pediatric Surgery, Istanbul Health Sciences University, Sariyer Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Sisli Etfal Hastan Tip Bul. 2019 Nov 26;53(4):430-432. doi: 10.14744/SEMB.2018.48154. eCollection 2019.
The majority of abdominal masses detected in the neonatal period are benign (85%) and usually originate in the urinary tract (50%), genital system (15%), gastrointestinal system (15%), or the hepatobiliary tract (5%). Ovarian cysts comprise one-third of the masses with a genital origin. Presently described is a case of an ovarian cyst that developed during the antenatal period and transformed into a hemorrhagic cystic mass as a result of torsion. A female infant born at 37 weeks of gestation with the prediagnosis of nephroma was admitted to the neonatal intensive care unit. Abdominal ultrasonography revealed a smooth cystic mass approximately 50x45x35 mm in size in the left upper quadrant that was not associated with the kidney. Magnetic resonance imaging revealed a 55x44x49-mm cystic mass in the left adnexal region containing multiple septations that were not enhanced with contrast material, and the mass was then interpreted as a hemorrhagic fetal ovarian cyst. The left ovary, compromised by 2 full torsions, was removed during a laparoscopy performed on the postnatal seventh day. The infant was subsequently discharged without complications. It should be kept in mind that cystic masses detected in the prenatal period may be of ovarian origin. An appropriate follow-up and treatment should be planned according to the size of the ovarian cyst and the clinical findings.
新生儿期发现的大多数腹部肿块是良性的（85%），通常起源于泌尿系统（50%）、生殖系统（15%）、胃肠道系统（15%）或肝胆系统（5%）。卵巢囊肿占生殖系统起源肿块的三分之一。本文描述了一例产前发生的卵巢囊肿，因扭转而转变为出血性囊性肿块的病例。一名孕37周出生、产前诊断为肾母细胞瘤的女婴被收治入新生儿重症监护病房。腹部超声检查显示左上腹有一个大小约为50×45×35mm的光滑囊性肿块，与肾脏无关。磁共振成像显示左侧附件区有一个55×44×49mm的囊性肿块，内有多个分隔，增强造影剂后无强化，该肿块随后被诊断为出血性胎儿卵巢囊肿。在出生后第7天进行的腹腔镜检查中，切除了因两次完全扭转而受损的左侧卵巢。婴儿随后顺利出院，无并发症。应记住，产前发现的囊性肿块可能起源于卵巢。应根据卵巢囊肿的大小和临床表现制定适当的随访和治疗计划。
