Giant ovarian cyst in a newborn: Case report
DOI:
https://doi.org/10.71112/1bt48a58Keywords:
ovarian cyst, neonatal, pelvic mass, newborn, adnexal torsionAbstract
We report the case of a term newborn with a prenatal diagnosis of a pelvic mass consistent with a giant ovarian cyst. The patient was delivered by cesarean section due to a 7.5 × 5 cm intra-abdominal cystic lesion detected by prenatal ultrasound. Postnatal imaging confirmed a left ovarian mass. Surgical resection was performed, and histopathology revealed a benign follicular cyst. This case highlights the importance of prenatal diagnosis and multidisciplinary management to prevent complications such as torsion or rupture.
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Ahmed, S., Hamrick-Turner, J. E., Rabah, R., et al. (2019). Neonatal ovarian cysts: Management and outcomes. Pediatric Surgery International, 35(5), 615–622. https://doi.org/10.1007/s00383-019-04460-8
Bagolan, P., Giorlandino, C., Nahom, A., Bilancioni, E., Trucchi, A., Gatti, C., et al. (2002). The management of fetal ovarian cysts. Journal of Pediatric Surgery, 37(1), 25–30. https://doi.org/10.1053/jpsu.2002.29425 DOI: https://doi.org/10.1053/jpsu.2002.29421
Bašković, M., et al. (2025). The evaluation, diagnosis, and management of ovarian cysts in neonates and infants: Updated perspectives. Journal of Pediatric and Neonatal Care.
Berg, L., et al. (2025). Ultrasound-guided cyst aspiration for management of acute symptomatic fetal/neonatal ovarian cysts: Outcomes from a multi-center series. Ultrasound in Obstetrics & Gynecology. https://doi.org/10.1002/uog.29225 DOI: https://doi.org/10.1002/uog.29225
Bloomfield, V., et al. (2024). Retrospective review of antenatally diagnosed ovarian cysts: Management trends and outcomes. Journal of Pediatric Surgery. https://doi.org/10.1016/j.jpedsurg.2024.03.011 DOI: https://doi.org/10.1016/j.jpedsurg.2024.03.011
Brandt, M. L., & Helmrath, M. A. (2005). Ovarian cysts in infants and children. Seminars in Pediatric Surgery, 14(2), 78–85. https://doi.org/10.1053/j.sempedsurg.2005.01.004 DOI: https://doi.org/10.1053/j.sempedsurg.2005.01.002
Bucuri, C., et al. (2023). Fetal ovarian cyst—A scoping review of recent data. Diagnostics (Basel), 13(2), 186. https://doi.org/10.3390/diagnostics13020186 DOI: https://doi.org/10.3390/medicina59020186
Chen, L., et al. (2020). Prenatal evaluation and postnatal outcomes of fetal ovarian cysts. Prenatal Diagnosis, 40(7), 859–867. https://doi.org/10.1002/pd.5754 DOI: https://doi.org/10.1002/pd.5754
Hasiakos, D., Papakonstantinou, K., Bacanu, A. M., et al. (2010). Fetal ovarian cysts: Postnatal outcome. Journal of Maternal-Fetal & Neonatal Medicine, 23(9), 1019–1022. https://doi.org/10.3109/14767050903550607
Lefebvre, T., Loock, J., & Garel, C. (2020). Fetal ovarian cysts: Diagnosis, management, and outcome. European Journal of Obstetrics & Gynecology and Reproductive Biology, 247, 185–191. https://doi.org/10.1016/j.ejogrb.2020.02.025 DOI: https://doi.org/10.1016/j.ejogrb.2020.02.025
Melinte-Popescu, A. S., et al. (2023). Managing fetal ovarian cysts: Clinical experience with a tertiary center series. Medicina (Kaunas), 59(4), 715. https://doi.org/10.3390/medicina59040715 DOI: https://doi.org/10.3390/medicina59040715
Naffaa, L. N., Murakami, J. W., Jaramillo, D., et al. (2014). Neonatal ovarian torsion: Imaging features and differential diagnosis. AJR American Journal of Roentgenology, 203(5), W541–W549. https://doi.org/10.2214/AJR.14.12445
Nussbaum, A. R., Sanders, R. C., & Hartman, D. S. (1988). Neonatal ovarian cysts: Sonographic-pathologic correlation. Radiology, 168(3), 817–821. https://doi.org/10.1148/radiology.168.3.3043547 DOI: https://doi.org/10.1148/radiology.168.3.3043551
Ozcan, H. N., et al. (2015). Imaging findings of fetal-neonatal ovarian cysts: Significance of fluid-debris level suggesting hemorrhage and torsion. AJR American Journal of Roentgenology, 204(5), W568–W575. https://doi.org/10.2214/AJR.14.13426 DOI: https://doi.org/10.2214/AJR.14.13426
Silva, M. M., González, R., & Soberanis, J. (2021). Ovarian cysts in the neonatal period: Current surgical perspectives. Frontiers in Pediatrics, 9, 645912. https://doi.org/10.3389/fped.2021.645912
Trinh, T. W., et al. (2015). Fetal ovarian cysts: Review of imaging spectrum, differential diagnosis and key management points. RadioGraphics, 35(6), 1813–1828. https://doi.org/10.1148/rg.352140073 DOI: https://doi.org/10.1148/rg.352140073
Zanforlin Filho, S. M., Carvalho, R. C., & Daltro, P. (2022). Imaging assessment of neonatal ovarian cysts: Diagnosis and management update. Clinical Imaging, 83, 69–77. https://doi.org/10.1016/j.clinimag.2022.08.005 DOI: https://doi.org/10.1016/j.clinimag.2022.08.005
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Copyright (c) 2025 Celia del Aguila Garcia, Luz María Hernández Aguilar, Esli Pulido Tzompa, Pedro Aníbal Bailón de la O, José Luis Chena Merino, Melissa Zavala Rodriguez (Autor/a)
This work is licensed under a Creative Commons Attribution 4.0 International License.
