P26.09: Prenatal diagnosis and management of a complex ovarian cyst: case report

Abstract

ovarian cyst was made. At 31 weeks the cyst measured 41 mm and contained a fluid-debris level and a retracting clot; no signal was depicted at power Doppler, there was no ascites, and the middle cerebral artery peak velocity was normal. Aspirin therapy was stopped, heparin was administered and weekly follow-up examinations were planned. The left-sided cyst started to decrease and reached 18 mm at 38 weeks, when it showed low-level echogenicity. However, at 33 weeks a right-sided 16 mm cyst was also depicted; the right cyst increased in size (50 mm), and at 38 weeks showed a ‘‘ground glass’’ appearance. Cesarean section was performed at term for breech presentation. The 4030 g female newborn showed no sign of abdominal complications, and postnatal sonography at 3 days of age confirmed the presence of bilateral ovarian cysts. Follow-up scans at 1 month demonstrated bilateral normal ovaries. Ovarian functional cysts rarely necessitate treatment in fertile age women. A conservative management is usually preferred also in the fetus, even if some authors advocated aspiration to prevent complications. In the present case of bilateral, complicated cysts, a close follow-up was necessary to rule out life-threatening events.