Trotman GE, Zamora M, Gomez-Lobo V. Non-surgical management of the auto-amputated adnexa in the neonate: a report on two cases.
J Pediatr Adolesc Gynecol 2014;
27:107-10. [PMID:
24075090 DOI:
10.1016/j.jpag.2013.06.019]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 06/12/2013] [Accepted: 06/29/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND
Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate.
CASES
We report 2 cases of abdominal masses that were diagnosed in the antenatal period and were clinically consistent with auto-amputated adnexa followed with serial ultrasonography until resolution.
SUMMARY AND CONCLUSION
To our knowledge this is the first report in the literature to document resolution of 2 pelvic masses due to auto-amputated adnexa with expectant management. This suggests expectant management is an appropriate alternative to surgical management in carefully selected cases.
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