A Case Report: Neonatal Torsional Ovarian Cyst
A Case Report: Neonatal Torsional Ovarian Cyst
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病例报告：新生儿扭转性卵巢囊肿
DOI：
10.14744/semb.2018.48154
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
S. Uslu
中科院分区：
文献类型：
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作者：
Duygu Acar;Evrim Kıray Baş;A. Bülbül;M. Demir;S. Uslu
在新生儿期发现的大多数腹部肿块是良性的（85%），通常起源于泌尿道（50%），生殖系统（15%），胃肠道（15%）或肝胆道（5%）。卵巢囊肿占生殖器起源肿块的三分之一。目前描述的是一个病例的卵巢囊肿，发展在产前期间，并转化为一个出血性囊性肿块的结果扭转。一名女婴在妊娠37周时出生，诊断为肾瘤，被送入新生儿重症监护室。腹部超声检查显示左上象限有一个大小约为50 x 45 x 35 mm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55x 44 x49-mm的囊性肿块，含有多个未用造影剂增强的分隔，然后将肿块解释为出血性胎儿卵巢囊肿。左卵巢，损害了2个完整的扭转，在出生后第七天进行的腹腔镜手术中被删除。婴儿随后出院，无并发症。应该记住，在产前发现的囊性肿块可能是卵巢起源的。应根据卵巢囊肿的大小和临床表现计划适当的随访和治疗。
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.