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Prenatal diagnosis and management of a massive fetal ovarian hemorrhagic cyst torsion with secondary fetal anemia
Authors:Irena Vitezica MD  Christof Czernik MD  Karin Rothe MD  PhD  Larry Hinkson MD  Barbara Ladendorf MD  Wolfgang Henrich MD  PhD
Affiliation:1. Feto‐Maternal Medicine Unit, Department of Obstetrics, Charité University Hospital, Humboldt University, , Berlin, Germany;2. Neonatology Unit, Department of Pediatrics, Charité University Hospital, Humboldt University, , Berlin, Germany;3. Department of Pediatric Surgery, Charité University Hospital, Humboldt University, , Berlin, Germany;4. Evang.Wald‐Hospital Spandau, Department of Obstetrics and Gynecology, , Berlin, Germany
Abstract:We report the case of one of the largest prenatally detected fetal hemorrhagic cyst with ovarian torsion and fetal anemia leading to subsequent cesarean section delivery and further unilateral oophorectomy of the neonate. Usually, fetal ovarian cysts tend to resolve spontaneously within the first months after birth. There is no need of surgical treatment for such simple cysts. Routine sonographic examinations are obligatory, because in some cases complications such as massive hemorrhage, cyst rupture, or ovarian torsion with following infarction can occur. With the occurrence of these complex cyst signs by sonographic investigation, subsequent intervention should be considered by an interdisciplinary team. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:219–222, 2014
Keywords:fetal ovarian cyst  fetal anemia  hemorrhage  ovarian torsion  prenatal diagnosis
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