Endosurgical Postnatal Approach to Fetal Ovarian Cysts

Abstract

ABSTRACT Nineteen newborns with prenatal diagnosis of ovarian cysts were referred to our institution during a 6-year period. Only those cysts more than 5-cm in diameter were included. Nine cases presented simple cysts and 7 of them underwent needle aspiration, 5 under ultrasound guidance and 2 with laparoscopic assistance. In one case an open surgical cystectomy was performed and the other had spontaneous resolution. No oophorectomies were performed in this group. Ten patients had complicated ultrasound pattern (septa, fluid/debris, calcification). From this group, 8 patients had ovarian torsion and 6 underwent laparoscopic oophorectomy (one bilateral). Open surgical oophorectomy was performed in 2 patients early in the series. Two cases were misdiagnosed. In one case a simple cyst appeared as complicated because of associated meconium peritonitis with calcifications. The other case underwent an initial laparoscopy that unveiled an intestinal duplication that was excised under open surgery. Mean operative...