An ovarian cyst complicated with intrauterine torsion of the fallopian tube followed by self-amputation of appendages: a case report

Abstract

BACKGROUND: The most common abdominal formations in fetuses and newborns of the female sex are ovarian cysts. The development of these cysts is induced by the excessive stimulation of fetal ovaries with maternal estrogens and placental chorionic gonadotropin which causes follicle dysgenesis. The diagnosis is put at antenatal and postnatal echography, computed tomography and magnetic resonance imaging.

CLINICAL CASE DESCRIPTION: The authors present their own clinical observation of an ovarian cyst complicated by intrauterine fallopian tube torsion and uterine appendages self-amputation in a patient operated at the age of 4 months.

CONCLUSION: Ultrasound screening is the main diagnostic technique for early detection of congenital ovarian pathology at the antenatal and postnatal stages. The authors suggest that the absence of clinical manifestations after birth, focal hemorrhages and diffuse massive petrifications in the macropreparation may be indicative of in utero torsion of the fallopian tube and self-amputation of uterine appendages. Like most other authors describing such observations, we consider that large size of the cyst, presence of suspension and additional echostructures in cyst liquid component may be indicative for surgical treatment of newborns.

Keywords

ovarian cyst / uterine appendages torsion / intrauterine torsion / clinical case

References

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RIGHTS & PERMISSIONS

Gebekova S.A., Makhachev B.M., Meylanova F.V., Magomedov A.D., Batirmirzayeva P.Z.