Autonomous Ovarian Cysts in a Girl: A Rare Case of Precocious Puberty

Precocious puberty (PP) is defined by development of secondary sexual characteristics before eight years old in girls. Autonomous ovarian follicular cysts in prepubertal girls are rare but the most common cause of gonadotropin-independent PP. Current management is debated. We report a case of PP due to an autonomous ovarian cyst in a 3-year-old girl with a month history of vaginal bleeding and breast development; the patient underwent surgical intervention. There is no consensus as to the superiority of surgical versus pharmaceutical management in the autonomous ovarian cysts in prepubertal girls. Surgical management should be deferred as long as possible to permit a spontaneous resolution of cysts. If a surgical intervention is made, conservation of normal ovarian tissue is mandatory