scholarly journals Management of Complex Ovarian Cysts in Newborns – Our Experience

2016 ◽  
Vol 6 (1) ◽  
pp. 3
Author(s):  
Manjiri S ◽  
Padmalatha SK ◽  
Shetty J
Keyword(s):  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Clinical Presentation ◽  
Ovarian Tissue ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Radiological Findings ◽  
Operative Recovery ◽  
Serous Cyst

Aims: To analyse the clinical presentation, clinicopathological correlation and management of complex ovarian cysts in newborn and infants.Materials and Methods: Over a period of 6 years (2009-2015), 25 newborns who were diagnosed to have ovarian cyst on antenatal ultrasound, were followed up. We collected data in the form of clinical features, radiological findings, pathology and mode of treatment.Results: Of the 25 fetuses who were diagnosed to have ovarian cysts, fourteen (56%) underwent spontaneous regression by 6-8 months. Eight were operated in newborn period while 3 were operated in early infancy. Seven had ovarian cyst on right side, 4 had on left side. Eight babies underwent laparoscopy while 3 underwent laparotomy. Histopathology showed varied features of hemorrhagic cyst with necrosis and calcification, serous cystadenoma with hemorrhage, benign serous cyst with hemorrhage and simple serous cyst. Post-operative recovery was uneventful in all.Conclusion: All the ovarian cysts detected antenatally in female fetuses need close follow-up after birth. Since spontaneous regression is known, only complex or larger cysts need surgical intervention, preferably by laparoscopy. Majority of the complex cysts show atrophic ovarian tissue hence end up in oophorectomy but simple cysts can be removed preserving normal ovarian tissue whenever possible.

scholarly journals Huge hemorrhagic ovarian cyst alongside suspected ovarian torsion: a case report

2020 ◽  
Vol 7 (2) ◽  
pp. 91-94
Author(s):  
Namita Sindan ◽  
Adheesh Bhandari
Keyword(s):  
Ovarian Cyst ◽  
Ovarian Tissue ◽  
Lower Abdominal Pain ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Ovarian Cysts ◽  
Gynecology And Obstetrics ◽  
The Right ◽  
Reproductive Age Group

An ovarian cyst is usually a relatively large, fluid-filled cystic structure (diameter greater than 3 cm) that originates from the surface or inside the ovary. Ovarian cysts can be simple or complex, depending on their internal material. Hemorrhagic ovarian cysts (HOCs) are commonly seen in clinical practice. Most of them resolve naturally during follow-up except in a minority of cases in which surgical intervention is needed. Ovarian torsion indicates partial or complete rotation of the ovary and a portion of the fallopian tube along its supplying vascular pedicle. It usually occurs in the reproductive age group, more on the right side (about 60%), and often presents with acute lower abdominal pain lasting for a few hours to 24 hours. It is one of the harmful conditions, hampering blood supply of ovary which may rise to overall necrosis of ovarian tissue and other difficulties, if not identified and managed in time. We present a case of a huge hemorrhagic ovarian cyst managed in the Department of Gynecology and Obstetrics, Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal.

scholarly journals Surgical aspects of the treatment of neonatal ovarian cysts in girls

2021 ◽  
Vol 25 (4) ◽  
pp. 278-283
Author(s):  
D. A. Malysheva ◽  
A. A. Sukhotskaya ◽  
V. G. Bairov ◽  
I. M. Kagantsov ◽  
N. A. Kokhreidze ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Postnatal Period ◽  
Premature Delivery ◽  
Ovarian Cysts ◽  
Joint Control ◽  
National Medical ◽  
Laparoscopic Fenestration ◽  
Dynamic Ultrasound ◽  
The Right

Introduction. Neonatal ovarian cysts develop in case of hormonal imbalance in the mother-placenta-fetus system. Cystic transformation in the ovary may cause appendage torsion which leads to follicular necrosis and loss of ovarian reserve. Most often, torsion occurs in the utero, but in premature girls- due to the specific hormonal status - the risk of cyst growth and its torsion remains in the postnatal period. Currently, a unified approach to the surgical treatment of neonatal ovarian cysts is absent.Material and methods. In the department of pediatric surgery for malformations in the Perinatal Center of the Amazov National Medical Research Center, 34 girls with ovarian cysts were examined during 2012-2020; 9 of them (27%) were premature. In the presented observation, we faced an ovarian cyst in the fetus of 30 week gestation.Results. The cyst looked uncomplicated, but had the enormous size, so we discussed a possibility to perform an intrauterine puncture. However, due to severe hemolytic disease of the fetus and premature delivery, the intervention was not carried out. By the third week of life, torsion of the cystic-transformed ovary developed; necrosis and self-amputation of the right uterine appendage were revealed intraoperatively. By the age of three months, cystic transformation of the only ovary developed. Timely performed laparoscopic fenestration was organ-sparing. Further follow-up revealed preserved and normally growing single ovary what confirmed the right choice of surgical tactics.Conclusion. Dynamic ultrasound examination of the pelvic organs is indicated to all premature girls, at least once every two weeks (in case of revealed ovarian cyst - weekly). We consider it reasonable to make the laparoscopic fenestration of uncomplicated cysts that have size of 3 cm and more. Newborn girls with ovarian cysts should be under the joint control of pediatrician and pediatric gynecologist for developing an individual follow-up plan.

scholarly journals Lymphocytic colitis: clinical presentation and long term course

Gut ◽  
1998 ◽  
Vol 43 (5) ◽  
pp. 629-633 ◽  
Author(s):  
B Mullhaupt ◽  
U Güller ◽  
M Anabitarte ◽  
R Güller ◽  
M Fried
Keyword(s):  
Colonic Mucosa ◽  
Clinical Presentation ◽  
Collagenous Colitis ◽  
Endoscopic Examination ◽  
Watery Diarrhoea ◽  
Lymphocytic Colitis ◽  
Radiological Findings ◽  
Benign Course

Background—Lymphocytic colitis is characterised by chronic watery diarrhoea with normal endoscopic or radiological findings and microscopic evidence of pronounced infiltration of the colonic mucosa with lymphocytes.Aim—To investigate the long term clinical and histological evolution of the disease in a large group of patients with well characterised lymphocytic colitis.Methods—Between 1986 and 1995 the histological diagnosis of lymphocytic colitis was obtained in 35 patients; 27 of these agreed to a follow up examination. All clinical, endoscopic, and histopathological records were reviewed at that time and the patients had a second endoscopic examination with follow up biopsies.Results—The patients initially presented with the typical findings of lymphocytic colitis. After a mean (SD) follow up of 37.8 (27.5) months, diarrhoea subsided in 25 (93%) and histological normalisation was observed in 22 (82%) of the 27 patients. Progression from lymphocytic colitis to collagenous colitis was not observed.Conclusions—Lymphocytic colitis is characterised by a benign course with resolution of diarrhoea and normalisation of histology in over 80% of patients within 38 months. Considering the benign course of the disease, the potential benefit of any drug treatment should be carefully weighed against its potential side effects.

scholarly journals The prevalence & age distribution of ovarian cysts

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Zohra Khanum ◽  
Amanur Rehman
Keyword(s):  
Prospective Study ◽  
Ovarian Cyst ◽  
Age Distribution ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
A Prospective Study ◽  
Histopathological Type ◽  
Determining Factor

A prospective study conducted at Lady Willingdon Hospital LHR over two years for prevalence & age distribution of ovarian cyst. According to study 85% ovarian cyst were benign, 13 % cyst were malignant while 2% were borderline malignant. The commonest histopathological type was serous cystadenoma. Only age was not the determining factor for the type of the ovarian cyst.

scholarly journals Ovarian Cysts in Menopausal Women (Literature Review)

2019 ◽  
Vol 9 (2) ◽  
pp. 144-150
Author(s):  
S. F. Taychinova ◽  
Sh. Kh. Gantsev ◽  
A. Z. Mullagalina ◽  
G. R. Akberdina
Keyword(s):  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Prospective Studies ◽  
Risk Index ◽  
Benign Neoplasm ◽  
High Risk Group ◽  
Ca 125 ◽  
Ovarian Cysts ◽  
Risk Of Malignancy

Introduction. The incidence of ovarian cyst amounts to 5–17 % in postmenopausal women. Currently monitoring of or screening for ovarian cysts in menopausal patients is not regimented in the Russian Federation at all. This situation warrants a review.Materials and methods. In this paper the authors review retrospective and prospective studies concerning outcomes in patients with ovarian cysts in menopause published in the last 5 years. Results. The retrospective and prospective studies analysed show that the risk of malignancy of this type of benign neoplasm is low, on average 0.7%. The results of a large prospective study prove that there is no need for surgical treatment in 80% of patients.Discussion. There is now doubt that patients with this disorder should be followed up in accordance with an algorithm that clearly defines the criteria for surgical treatment and the follow up length. Surgical treatment should be indicated when there is at least one of the signs of an ovarian cyst: symptomatic, texture not smooth, over 50 mm in diameter, multilocular, bilateral. A positive CA-125 in combination with ultrasound, MRI and CT imaging make it possible to calculate the risk index with the use of a particular formula and determine the indications for a risk-reducing bilateral salpingo-oophorectomy. The follow up of BRCA1/2 mutation-free patients with a benign ovarian neoplasm should include a close step-by-step monitoring and all the necessary examinations performed in a timely manner.Conclusion. The risk of a malignant transformation of an ovarian cyst in menopause is rather low (about 0.7%); following up patients with simple ovarian cysts in menopause is possible and should be carried out in strict compliance with the algorithm; the preventive bilateral salpingo-oophorectomy in patients presenting no signs of ovarian pathology is indicated only for the high risk group (BRCA1/2 mutations confirmed or there is family history).

Bilateral complicated ovarian cysts of the fetus

2019 ◽  
Author(s):  
N.V. Mashinets, V.N. Demidov
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Surgical Intervention ◽  
Ovarian Cysts

Case report of prenatal diagnosis of bilateral complicated ovarian cysts of the fetus at 34 weeks of pregnancy is presented. The particularity of this case is that one ovarian cyst in the fetus was complicated by intrauterine torsion, which required surgical treatment after birth. In the cavity of the second cyst, hemorrhage occurred with spontaneous regression, which did not require surgical intervention.

scholarly journals HOMOEOPATHIC MANAGEMENT OF OVARIAN CYST – A CASE REPORT

AYUSHDHARA ◽  
2020 ◽  
pp. 2393-2399
Author(s):  
Arunava Nath* ◽  
Deb Kumar Palit ◽  
Nivedita Kundu
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Ovarian Tissue ◽  
Hormonal Treatment ◽  
Surgical Removal ◽  
Gradual Reduction ◽  
Lycopodium Clavatum ◽  
The Subject ◽  
One Year

Ovarian enlargements, cystic or solid, may occur at any age. Functional and inflammatory enlargements of the ovary develop almost exclusively during the childbearing years. They may be asymptomatic or produce local discomfort, menstrual disturbances, infertility, or in rare cases cause acute symptoms due to complications like haemorrhage, rupture or torsion. A case on dysmenorrhoea along with right ovarian cyst measuring about 52x45 mm has been presented which was treated with constitutional homoeopathic medicine Lycopodium clavatum. Literature review suggested spontaneous regression of cysts within 3 months with oral combined pills but in the presented case the subject had been suffering for last one year and was under hormonal treatment with no favourable results. In the case of simple cysts more than 5 cm in diameter and complex cysts, surgical removal of the mass is most often recommended in an attempt to preserve viable ovarian tissue. With homoeopathic approach the treatment lasted for nearly one year with gradual reduction in pain intensity and sonographically no detectable abnormality was noted after treatment.

scholarly journals Twisted ovarian cyst in pregnancy: a case report

2018 ◽  
Vol 7 (8) ◽  
pp. 3389
Author(s):  
Amina Kuraishy ◽  
Nasreen Noor ◽  
Zehra Mohsin
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Healthy Male ◽  
Pregnancy Risk ◽  
Male Baby ◽  
In Pregnancy

Ovarian cysts are frequently encountered during pregnancy due to the use of routine prenatal ultrasound. Most of them are benign but in some cases, complications can occur such as torsion, rupture and malignant change. In pregnancy risk of torsion increases 5-fold. It carries significant risk to a pregnant woman and her intrauterine foetus. Here we are reporting a 30-year-old female G3 P1+1L2 with 15 weeks of gestation who presented to antenatal OPD with complain of dull aching abdominal pain for 1 month and nausea and vomiting for 5 days. On ultrasound bilateral ovarian cysts were found, with one of the cyst with multiple septations. She underwent laparotomy, a right sided twisted ovarian cyst was found for which salpingoophrectomy was done. Left sided cyst was simple where cystectomy was done. Her histopathology report showed a bilateral benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy male baby at term. Ovarian cyst diagnosed in pregnancy can be followed up with serial ultrasound but if associated with complication such as torsion then urgent surgical intervention has to be done.

Postnatal Outcome in Cases of Prenatally Diagnosed Fetal Ovarian Cysts under Conservative Prenatal Management

2014 ◽  
Vol 37 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Manabu Nakamura ◽  
Keisuke Ishii ◽  
Masaharu Murata ◽  
Jun Sasahara ◽  
Nobuaki Mitsuda
Keyword(s):  
Ovarian Cyst ◽  
Conservative Management ◽  
Retrospective Cohort ◽  
Spontaneous Regression ◽  
Maximum Size ◽  
Ovarian Cysts ◽  
Cyst Size ◽  
Prenatal Management ◽  
Postnatal Outcome ◽  
Postnatal Surgery

Aim: To evaluate the outcome of cases of prenatally diagnosed fetal ovarian cyst under conservative prenatal management. Methods: This retrospective cohort study included patients diagnosed between January 2005 and August 2013. They were managed expectantly during pregnancy and followed up until spontaneous regression of the cyst or postnatal surgery. The outcomes of fetal ovarian cysts were compared combined appearance as being simple or complex at prenatal scan and maximum size of cysts ≥40 or <40 mm. Results: There were 33 study cases. Prenatally 3/33 cases (9%) had spontaneous cyst regression during pregnancy. 14 cysts (42%) were treated surgically, of which torsion was confirmed in 4 (29%). Another 14/33 cases (42%) regressed spontaneously under conservative management after birth. The ovaries could be preserved in 28 patients (85%). The incidence of torsion between complex cysts and simple cysts was not statistically different. The incidence of torsion between patients with cyst size ≥40 and <40 mm was similar. Conclusions: The ovaries could be preserved in approximately 85% of patients under conservative management. The present study could not reveal the significance of prenatal ultrasonographic findings of fetal ovarian cyst for predicting the outcome of patients' ovaries.

scholarly journals Chronic constipation: An unusual presentation of a Giant Serous Cystadenoma of ovary

2013 ◽  
Vol 12 (1) ◽  
pp. 108-109
Author(s):  
Sabina Khan ◽  
Mohammad Jaseem Hassan ◽  
Musharraf Hussain ◽  
Sujata Jetley
Keyword(s):  
Ovarian Cyst ◽  
Chronic Constipation ◽  
Medical Science ◽  
Serous Cystadenoma ◽  
Unusual Presentation ◽  
Mesenteric Cyst ◽  
Ovarian Cysts ◽  
Large Size ◽  
Large Ovarian Cyst ◽  
Missed Diagnosis

Benign ovarian cysts are fairly common. However, some of them may attain a large size and may prove to be malignant also. Here we report a case of 48 years old female presenting with chronic constipation due to a large ovarian cyst which was misdiagnosed on CT as mesenteric cyst. This case is being reported because of its large size, unusual presentation and missed diagnosis. DOI: http://dx.doi.org/10.3329/bjms.v12i1.11540 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.108-109

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