“Daughter Cyst” Sign

Lee, Hee-Jung; Woo, S. H.; Kim, Jung-Sik; Suh, Su-Jhi

doi:10.2214/ajr.174.4.1741013

Cited by 68 publications

(10 citation statements)

References 13 publications

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“…We found useful a distinction of CACL of ovarian origin according to the criteria of Nussbaum et al into uncomplicated cyst (anechogenic, unilocular, thin-walled) and complicated cysts (heterogenous with hyperechogenic components, thick-walled, containing free-floating material with intracystic septations) (6). We also found that the socalled 'daughter cysts sign' were also typical for functional ovarian cysts (7). In contrast to other authors, we found the absence of color Doppler flow not to be 100% specific for ovarian torsion (6).…”

Section: Discussionmentioning

confidence: 51%

Minimally Invasive Surgery for Congenital Abdominal Cystic Lesions in Newborns and Infants

Gałązka

Redloch

Kroczek

et al. 2020

In Vivo

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Background/Aim: In the variety of congenital abdominal cystic lesions (CACL) of different origin, ovarian cyst is the most common intra-abdominal pathology in female neonates. The prognosis and timing of treatment varies depending on the nature of CACL. This study aimed to assess the results of diagnostics and treatment of CACL. Patients and Methods: A retrospective analysis was performed of 39 cases of CACL, with the spectrum including ovarian, enteric, mesenteric and pancreatic origin. Outcome of minimally invasive surgery, open surgery or conservative approach was analyzed. Results: Twenty-eight neonates underwent surgery, while 11 were treated conservatively. Twenty patients were treated with a laparoscopic technique and eight with laparotomy combined with laparoscopy. Final diagnosis included: Fifteen cases of ovarian pathology (ovarian torsion in 11 cases), 12 treated laparoscopically and three with laparotomy, six enteric duplications (four laparoscopic and two laparotomic), three mesenteric cysts (one laparoscopic and two laparotomic), two pancreatic cysts (both laparoscopic only), two duodenal stenoses, including duodenal septum (both laparotomies with Heineke-Mikulicz plasty). No blood transfusion apart from two cases requiring re-laparotomy and no early complications were observed in any case; no death occurred. Conclusion: With the strategy of management based on ultrasound and laboratory data, a laparoscopically assisted minimal access approach resulted in minimal risk of complications and complete recovery in all patients, leading to exclusion of oncological risk.

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Section: Discussionmentioning

confidence: 51%

Minimally Invasive Surgery for Congenital Abdominal Cystic Lesions in Newborns and Infants

Gałązka

Redloch

Kroczek

et al. 2020

In Vivo

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“…The challenge is to determine the origin of the intra-abdominal mass, since its differential diagnoses include renal, intestinal, and hepatic origin; such as choledochal cyst, intestinal duplication, meconium cyst, among many others, therefore, it must be considered that in the case of a female fetus, according to the ultrasound findings, ovarian cyst and hydrocolpos should be suspected, however it is not only identify the origin, but rather establish the prognosis whose greatest determinant of the perinatal outcome is the appearance of the cyst and its size, first it must be established that if an ovarian cyst smaller than 20 mm is observed, it is considered a physiological dominant ovarian follicle, that is That is to say, when a cystic lesion measures more than 20 mm it is abnormal, another pathognomonic finding is the daughter cyst, which demonstrates a thin-walled, small and regular cystic lesion within another cyst, which gives it a sensitivity of 82%. specificity of 100% and positive predictive value of 100% such that identifying this lesion guarantees that it is a cystic lesion of ovarian origin, ultimately two groups of cysts must be identified, simple and complex; the simple ones are generally anechoic, unilocular, thin-walled and larger than 20mm, as for the complex ones, the characteristics are thick wall, with hyperechoic content, septate, with evidence of intracystic sediment [10][11][12][13][14][15]. In a systematic review by Bascietto, et al It is established that when there are cysts smaller than 40 mm the resolution at birth was 84.8% and when the appearance is simple 64.4%, anatomical changes have also been seen with respect to the evolution of the cyst from simple to complex or with torsion and intracystic hemorrhage, which occurs more frequently in cysts larger than 40 mm; The incidence of cystic torsion ranges from 21.8% and of these, 6% corresponds to simple cystic lesions and 44.9% to complex ones, with a higher risk when they exceed dimensions of 40 mm.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Fetal Ovarian Cyst. Report of a Case

Villagomez Mendoza,

Yescas Osorio,

Delgado Guerrero

2023

J Gyneco Obstet Res

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Background: Prenatal diagnosis of abdominal cysts is relatively common; The ovarian cyst is the most predominant chemical lesion of abdominal masses in female fetuses; however, given the wide variety of intra-abdominal masses, determining the origin of the chemical lesion is the most frequent diagnostic challenge, especially to establish fetal prognosis. Clinical Case: 30-year-old patient, who went to the emergency department for uterine contractions, no prenatal control, during the ultrasound evaluation, polyhydramnios and an intra-abdominal cystic lesion measuring 4.9 x 3.9 cm, without septa and with a thin wall were documented, the area was intentionally reviewed. renal, hepatic, and intestinal; Without involvement of these structures, female genitalia were confirmed, concluding in a probable ovariandependent cyst, admission for resolution of the pregnancy via the abdomen due to pelvic presentation and labor, at birth the diagnosis was confirmed. Conclusions: Timely detection of an intra-abdominal chemical injury and ecological follow-up improve perinatal prognosis.

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“…Daughter cysts are associated with a high risk of recurrence after surgery. Radical excision is to be preferred in these cases [3].…”

Section: Observationmentioning

confidence: 99%

Daughter cyst sign in isolated peritoneal hydatid disease.

2020

JMR

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A 35-year-old patient with no pertinent past medical history presented with recurrent abdominal pain of three months duration. There were no associated symptoms. The abdominal ultrasound showed a homogenous, well-circumscribed cystic mass in the pelvic cavity. The immunology of cystic echinococcosis was negative. Abdomen and pelvis CT scan revealed a pelvic cyst measuring six centimeters in diameter. The cyst wall appeared bumpy and communicated with a second adjacent small rounded lesion corresponding to a daughter cyst (figure). The rest of the imaging findings were unremarkable. The diagnosis of isolated peritoneal hydatid cyst was made. The patient underwent a cystectomy with uneventful postoperative course. Daughter cysts formation is common in the parasite evolution. They are usually endogenous [1]. In some cases, the daughter cysts are progressively pushed outwards and develop as exogenous extensions [2]. The daughter cyst sign is pathognomonic for hydatid disease and is usually seen in liver hydatid cysts. Daughter cysts are associated with a high risk of recurrence after surgery. Radical excision is to be preferred in these cases [3].

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“Daughter Cyst” Sign

Abstract: The daughter cyst sign is a specific sonographic finding for an ovarian cyst and may be useful in differentiating uncomplicated ovarian cysts from other cystic masses in neonates, infants, and young children.

Cited by 68 publications

References 13 publications

Minimally Invasive Surgery for Congenital Abdominal Cystic Lesions in Newborns and Infants

Minimally Invasive Surgery for Congenital Abdominal Cystic Lesions in Newborns and Infants

Prenatal Diagnosis of Fetal Ovarian Cyst. Report of a Case

Daughter cyst sign in isolated peritoneal hydatid disease.

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