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Prenatal diagnosis and management of a massive fetal ovarian hemorrhagic cyst torsion with secondary fetal anemia
Author(s) -
Vitezica Irena,
Czernik Christof,
Rothe Karin,
Hinkson Larry,
Ladendorf Barbara,
Henrich Wolfgang
Publication year - 2014
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22082
Subject(s) - medicine , ovarian torsion , fetus , cyst , ovarian cyst , anemia , obstetrics , prenatal diagnosis , surgery , torsion (gastropod) , pregnancy , biology , genetics
We report the case of one of the largest prenatally detected fetal hemorrhagic cyst with ovarian torsion and fetal anemia leading to subsequent cesarean section delivery and further unilateral oophorectomy of the neonate. Usually, fetal ovarian cysts tend to resolve spontaneously within the first months after birth. There is no need of surgical treatment for such simple cysts. Routine sonographic examinations are obligatory, because in some cases complications such as massive hemorrhage, cyst rupture, or ovarian torsion with following infarction can occur. With the occurrence of these complex cyst signs by sonographic investigation, subsequent intervention should be considered by an interdisciplinary team. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:219–222, 2014