1
|
Abraham D, Koenigsberg M, Hoffman-Tretin J. The Prenatal Ultrasound Appearance of Hydrometrocolpos. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2016. [DOI: 10.1177/875647938500100306] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Dunstan Abraham
- Bronx Municipal Hospital Center, Department of Radiology/Division of Ultrasound, Pelham Parkway South and Eastchester Road, Bronx, NY 10461
| | | | | |
Collapse
|
2
|
Arbel-DeRowe Y, Tepper R, Rosen DJ, Beyth Y. The contribution of pelvic ultrasonography to the diagnostic process in pediatric and adolescent gynecology. J Pediatr Adolesc Gynecol 1997; 10:3-12. [PMID: 9061628 DOI: 10.1016/s1083-3188(97)70037-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We suggest that using the sonographic examination as an integral part of the work-up may save the physician and the patient from an unpleasant and uninformative examination, and avid EUA or unnecessary surgery. The type or sonographic examination should be determined by what is known, the equipment available, and the age and past history of the patient. In our institution the transabdominal approach is the choice for any nonsexually active female and the transvaginal approach is the procedure of choice for those females who are emotionally mature and sexually active. This review is addressed to the clinicians taking care of the pediatric and adolescent population. We wish to stress the importance of the sonographic evaluation as an immediate tool for the evaluation of suspected pelvic pathology, gender identity, and sexual-development disorders. We find it convenient and accurate, and feel that in children and young women with such pelvic complaints, it should be considered an important step in the diagnostic process.
Collapse
Affiliation(s)
- Y Arbel-DeRowe
- Department of Obstetrics and Gynecology, Sapir Medical Center, Meir Hospital, Kfar Saba, Israel
| | | | | | | |
Collapse
|
3
|
Spence J, Domingo M, Pike C, Wenning J. The resolution of fetal and neonatal ovarian cysts. ACTA ACUST UNITED AC 1992. [DOI: 10.1016/s0932-8610(12)80103-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
4
|
Mordehai J, Mares AJ, Barki Y, Finaly R, Meizner I. Torsion of uterine adnexa in neonates and children: a report of 20 cases. J Pediatr Surg 1991; 26:1195-9. [PMID: 1779328 DOI: 10.1016/0022-3468(91)90333-o] [Citation(s) in RCA: 87] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Twenty children under the age of 14 years with torsion of the uterine adnexa are discussed. Of the 14 postnatal cases, 8 were associated with additional ovarian pathology whereas in 6 cases the torsion was of normal uterine adnexa. Six additional cases had antenatal torsion with "pseudocyst" formation. All 14 postnatal cases presented as acute abdominal emergency requiring immediate surgery. Only 6 of the 14 had been correctly diagnosed preoperatively, the rest being mostly diagnosed as acute appendicitis. Sonographic studies can improve the preoperative diagnosis. Hemorrhagic necrosis of the adnexa (secondary to the torsion) was found in all cases except one, and necessitated adnexal resection. In only one case preservation of the adnexa was possible. Fixation of the contralateral ovary is recommended in cases of torsion of normal uterine adnexa. All six cases of antenatal torsion were diagnosed by routine ultrasonography during pregnancy between the 29th and 40th week of gestation. The "fluid-fluid" level sign is characteristic of this lesion. These neonates were born in no acute distress and were found to be completely asymptomatic. Hence, they did not require urgent surgery and underwent operation electively at the age of 2 weeks. Resection of the pseudocyst with fixation of the contralateral ovary is the treatment of choice in these cases.
Collapse
Affiliation(s)
- J Mordehai
- Department of Pediatric Surgery, Soroka Medical Center, Beer-Sheva, Israel
| | | | | | | | | |
Collapse
|
5
|
Brandt ML, Luks FI, Filiatrault D, Garel L, Desjardins JG, Youssef S. Surgical indications in antenatally diagnosed ovarian cysts. J Pediatr Surg 1991; 26:276-81; discussion 281-2. [PMID: 1827651 DOI: 10.1016/0022-3468(91)90502-k] [Citation(s) in RCA: 117] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The antenatal diagnosis of ovarian cysts poses a therapeutic dilemma because the natural history of these lesions is not well known. A retrospective review from 1980 to 1989 showed 29 ovarian cysts in 27 patients diagnosed by prenatal ultrasonography performed between 28 and 36 weeks of gestation. Nineteen cysts were initially observed. Eleven cysts resolved (diameter less than 2 cm), three are decreasing, three were lost to follow-up, and two underwent resection. Eight patients underwent surgical exploration immediately following birth. The diagnosis of benign ovarian cyst was confirmed histologically in all cases. A review of the literature showed an additional 230 cases of antenatally diagnosed ovarian cysts. Simple cysts of the ovary tend to resolve spontaneously and, therefore, may be treated conservatively. Serial ultrasonography allows accurate diagnosis and long-term assessment of ovarian cysts in the neonate and may prevent unnecessary oophorectomy. Patients with cysts larger than 4 cm may be candidates for percutaneous aspiration, or should undergo removal of the cyst because of a significant risk of torsion. Complex cystic masses, symptomatic ovarian cysts, and cysts that do not resolve should be removed.
Collapse
Affiliation(s)
- M L Brandt
- Department of Surgery, Hôpital Ste-Justine, Montreal, Quebec, Canada
| | | | | | | | | | | |
Collapse
|
6
|
Zachariou Z, Roth H, Boos R, Tröger J, Daum R. Three years' experience with large ovarian cysts diagnosed in utero. J Pediatr Surg 1989; 24:478-82. [PMID: 2661796 DOI: 10.1016/s0022-3468(89)80406-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Thirteen fetuses with abdominal cystic tumors were diagnosed by routine prenatal ultrasonography between the 28th and 36th week of gestation. Postnatal ultrasonography of the full-term newborns confirmed the findings. Laparotomies were performed in all cases except one. Patients who were operated on had large ovarian pseudocysts with volumes between 24 and 120 cc. In seven patients (54%), the cysts arose from the left ovary; this included four cases in which the postnatal ultrasound was interpreted as showing the cysts in the right abdomen. Very thin cystic walls threatening perforation were found in 91%. In 33%, we found salpingotorsion on the affected side. Small contralateral ovarian cysts were found in 66% of the patients. One infant required resection of 30 cm of necrotic jejunum because adhesions to the cyst had caused bowel volvulus. Histology of the cysts showed hemorrhage and calcifications, but ovarian stroma was absent in all but one patient. Serum estradiol-17 beta, progesterone follicle-stimulating hormone, and luteinizing hormone were normal in all cases, and similar levels were found in the cyst fluid. These results show that large abdominal cystic masses in full-term infant girls with normal gonadotrophin levels and normal serum estradiol-17 beta and progesterone levels are very likely to require surgery; this is in contrast to preterm neonates with elevated gonadotrophins who can be treated with medroxyprogesterone acetate in the absence of clinical signs necessitating surgery.
Collapse
Affiliation(s)
- Z Zachariou
- Department of Paediatric Surgery, University of Heidelberg, West Germany
| | | | | | | | | |
Collapse
|
7
|
Rizzo N, Gabrielli S, Perolo A, Pilu G, Cacciari A, Domini R, Bovicelli L. Prenatal diagnosis and management of fetal ovarian cysts. Prenat Diagn 1989; 9:97-103. [PMID: 2646627 DOI: 10.1002/pd.1970090204] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Congenital ovarian cysts are a pathological condition which can be diagnosed in utero by ultrasound. We report 14 consecutive diagnoses of fetal ovarian cysts, obtained in the second and third trimesters of pregnancy. Congenital ovarian cysts have almost invariably a good prognosis, and no change in the standard obstetrical management is required. However, the evolution of the disease in utero is extremely variable. The cyst may increase in size, decrease or even disappear, or undergo complications such as torsion and rupture, which may carry some risks to the fetus. When a fetal ovarian cyst is detected, serial ultrasound examinations should be performed. If one of the above complications is suspected, the option of prompt caesarean section should be considered.
Collapse
Affiliation(s)
- N Rizzo
- Second Department of Obstetrics and Gynaecology, Bologna University School of Medicine, Italy
| | | | | | | | | | | | | |
Collapse
|
8
|
Nicolaides KH, Campbell S. Diagnosis and management of fetal malformations. BAILLIERE'S CLINICAL OBSTETRICS AND GYNAECOLOGY 1987; 1:591-622. [PMID: 3325208 DOI: 10.1016/s0950-3552(87)80008-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
9
|
Amodio J, Abramson S, Berdon W, Bell J, Winchester P, Stolar C, Liebert P. Postnatal resolution of large ovarian cysts detected in utero. Report of two cases. Pediatr Radiol 1987; 17:467-9. [PMID: 3317248 DOI: 10.1007/bf02388280] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Two cases of spontaneous resolution of large ovarian cysts in newborns are presented. In both cases the cysts were detected prenatally with ultrasound. In one case the cyst disappeared before birth; in the other, the cyst resolved several weeks postnatally. Both infants also displayed labial, uterine and vaginal enlargement, signs of maternal estrogen stimulation. These large ovarian cysts are also most likely under some hormonal stimulation and may undergo spontaneous resolution and therefore obviate the need for surgery.
Collapse
Affiliation(s)
- J Amodio
- Department of Radiology, Babies Hospital, Columbia-Presbyterian Medical, New York, New York
| | | | | | | | | | | | | |
Collapse
|
10
|
Burlbaw J, Grundy H. Sonographic Diagnosis of a Fetal Ovarian Cyst. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 1985. [DOI: 10.1177/875647938500100607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Jeanette Burlbaw
- Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Fetal Diagnostic Unit, St. Luke's Hospital of Kansas City, Kansas City, Missouri; Maternal Fetal Medicine, St. Luke's Hospital of Kansas City, 4400 Wornall Road, Kansas City, MO 64111
| | - Howard Grundy
- Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Fetal Diagnostic Unit, St. Luke's Hospital of Kansas City, Kansas City, Missouri
| |
Collapse
|
11
|
Holzgreve W, Winde B, Willital GH, Beller FK. Prenatal diagnosis and perinatal management of a fetal ovarian cyst. Prenat Diagn 1985; 5:155-8. [PMID: 3887359 DOI: 10.1002/pd.1970050210] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
A case of a prenatally diagnosed fetal ovarian cyst is presented. The pregnancy was complicated only by polyhydramnios, and some degree of fetal bowel obstruction could be recognized on sonogram. The newborn was delivered vaginally in the 39th week of pregnancy, and the cyst was removed by laparotomy on the day of the delivery. The etiology of this rare fetal condition is unknown.
Collapse
|
12
|
Schwimer SR, Vanley GT, Reinke RT. Prenatal diagnosis of cystic meconium peritonitis. JOURNAL OF CLINICAL ULTRASOUND : JCU 1984; 12:37-39. [PMID: 6423674 DOI: 10.1002/jcu.1870120109] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
|
13
|
Avni EF, Godart S, Israel C, Schmitz C. Ovarian torsion cyst presenting as a wandering tumor in a newborn: antenatal diagnosis and post natal assessment. Pediatr Radiol 1983; 13:169-71. [PMID: 6866578 DOI: 10.1007/bf01624410] [Citation(s) in RCA: 35] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
A case of an in-utero torsion ovarian cyst is reported. The diagnosis was made antenatally and the 4-cm cystic mass was followed by US from birth until the age of 3 months. Surgery was delayed until the baby reached a satisfactory weight. In the meanwhile, the follow-up studies showed the mass to wander in the abdomen. Surgery revealed an ovarian cyst. Ovarian torsion cysts should be considered in the differential diagnosis of wandering tumors.
Collapse
|
14
|
Jouppila P, Kirkinen P, Tuononen S. Ultrasonic detection of bilateral ovarian cysts in the fetus. Eur J Obstet Gynecol Reprod Biol 1982; 13:87-92. [PMID: 7084551 DOI: 10.1016/0028-2243(82)90004-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
|
15
|
Yiu-Chiu V, Chiu L. Ultrasonographic evaluation of normal fetal anatomy and congenital malformations. THE JOURNAL OF COMPUTED TOMOGRAPHY 1981; 5:367-510. [PMID: 7198569 DOI: 10.1016/0149-936x(81)90097-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
|