Challenges in prenatal diagnosis of foetal anorectal malformation and hydrocolpos – Case report

Aziz, Muhammad Alamsyah; Zahra, Fatima; ZB, Cut Razianti; Kharismawati, Nuniek; Sutjighassani, Tjut; Almira, Nadia Larastri; Tjandraprawira, Kevin Dominique

doi:10.1016/j.amsu.2022.104949

Cited by 1 publication

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“…In our series, all 4 cysts operated on for ovarian torsion had a diameter of > 4 cm. It is important to note that simple cysts, after torsion, increase in size and become complex in structure [30]. Moreover, the fluid-debris level seems to be a significant hallmark for ovarian torsion on ultrasound examination [17].…”

Section: Discussionmentioning

confidence: 99%

Managing Fetal Ovarian Cysts: Clinical Experience with a Rare Disorder

et al. 2023

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Background and Objectives: Fetal ovarian cysts (FOCs) are a very rare pathology that can be associated with maternal–fetal and neonatal complications. The aim of this study was to assess the influence of ultrasound characteristics on FOC evolution and therapeutic management. Materials and Methods: We included cases admitted to our perinatal tertiary center between August 2016 and December 2022 with a prenatal or postnatal ultrasound evaluation indicative of FOC. We retrospectively analyzed the pre- and postnatal medical records, sonographic findings, operation protocols, and pathology reports. Results: This study investigated 20 cases of FOCs, of which 17 (85%) were diagnosed prenatally and 3 (15%) postnatally. The mean size of prenatally diagnosed ovarian cysts was 34.64 ± 12.53 mm for simple ovarian cysts and 55.16 ± 21.01 mm for complex ovarian cysts (p = 0.01). The simple FOCs ≤ 4 cm underwent resorption (n = 7, 70%) or size reduction (n = 3, 30%) without complications. Only 1 simple FOC greater than 4 cm reduced its size during follow-up, while 2 cases (66.6%) were complicated with ovarian torsion. Complex ovarian cysts diagnosed prenatally underwent resorption in only 1 case (25%), reduced in size in 1 case (25%), and were complicated with ovarian torsion in 2 cases (50%). Moreover, 2 simple (66.6%) and 1 complex (33.3%) fetal ovarian cysts were postnatally diagnosed. All of these simple ovarian cysts had a maximum diameter of ≤4 cm, and all of them underwent size reduction. The complex ovarian cyst of 4 cm underwent resorption during follow-up. Conclusions: Symptomatic neonatal ovarian cysts, as well as those that grow in size during sonographic follow-up, are in danger of ovarian torsion and should be operated on. Complex cysts and large cysts (with >4 cm diameter) could be followed up unless they become symptomatic or increase in dimensions during serial ultrasounds.

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Section: Discussionmentioning

confidence: 99%