Alkım ÖDEN AKMAN, Nazile ERTÜRK, Sibel ALTINBAŞ, Mithat HALİLOĞLU, Ahmet Yağmur BAŞ

Nadir Komplikasyonlarla Giden Dört Yenidoğan Kompleks Over Kisti Olguları

Ultrasonun sık kullanımıyla fetal ve neonatal dönemde yenidoğan over kistleri daha sık saptanmaktadır. Bu yazıda; nadir komplikasyonlarla giden antenatal tanılı over kisti olguları sunulmuştur. Birinci olguda, otoampute over kisti saptanmış ve takibinde spontan kaybomuştur. İkinci ve üçüncü olguya cerrahi tedavi uygulanmıştır. Histopatolojik sonucu otoampute hemorajik nekrotik torsiyone tuba ovaryan kist olarak raporlanmıştır. Dördüncü olguda da, postnatal dönemde antenatal over kisti rüptürüne bağlı abdominal asit saptanmıştır. Pediatrist ve çocuk cerrahları için yenidoğan over kistlerinin tedavi yaklaşımı halen tartışmalıdır. Hangi hastada cerrahi, hangi hastada konservatif tedavi yaklaşımı yapılacağı belirlenmelidir

Anahtar Kelimeler:

Otoamputasyon, kompleks over kisti, yenidoğan

Four Neonatal Complex Ovarian Cyst Cases with Uncommon Complications

With the wide common use of ultrasound, ovarian cysts of the fetus and neonate are more often detected. A case series of four infant with uncommon complications of antenatal ovarian cysts were presented. In the first case; autoamputated ovarian tissue was determined and disappeared during the follow up. The second and third case went under surgery. Histopathological results were reported as a torsional autoamputated hemorrhagic necrotic tuba-ovarian cyst. Abdominal ascites was determined postnatally due to rupture of neonatal ovarian cyst in the fourth case. The treatment approaches for ovarian cysts poses a therapeutic dilemma for the pediatrician and the pediatric surgeon. It has to be decided which patient should be referred for surgical therapy and which might be treated conservatively

Keywords:

Autoamputation, complex ovarian cyst, neonate,

PDF

___

1. Bryant AE, Laufer MR. Fetal ovarian cysts: Incidence, diagnosis and management. J Reprod Med 2004;49:329-37.
2. Özdilek B, Nalbantoğlu B, Donma MM, Çelik C, Paketçi C, Karasu E, ve ark. Yenidoğanda over kisti. Çocuk Dergisi 2013;13:36-9.
3. Vogtländer MF, Rijntjes-Jacobs EG, van den Hoonaard TL, Versteegh FG. Neonatal ovarian cysts. Acta Paediatr 2003;92:498-501.
4. Nussbaum AR, Sanders RC, Benator RM, Haller JA Jr, Dudgeon DL. Spontaneous resolution of neonatal ovarian cysts. AJR Am J Roentgenol 1987;148:175-6.
5. Galinier P, Carfagna L, Juricic M, Lemasson F, Moscovici J, Guitard J, et al. Fetal ovarian cysts management and ovarian prognosis: A report of 82 cases. J Pediatr Surg 2008;43:2004-9.
6. Koike Y, Inoue M, Uchida K, Kawamoto A, Yasuda H, Okugawa Y, et al. Ovarian autoamputation in a neonate: A case report with literature review. Pediatr Surg Int 2009;25:655-8.
7. Mortellaro VE, Fike FB, Sharp SW, St Peter SD. Operative findings in antenatal abdominal masses of unknown etiology in females. J Surg Res 2012;177:137-8.
8. Chinchure D, Ong CL, Loh AH, Rajadurai VS. Neonatal ovarian cysts: Role of sonography in diagnosing torsion. Ann Acad Med Singapore 2011;40:291-5.
9. Heling KS, Chaoui R, Kirchmair F, Stadie S, Bollmann R. Fetal ovarian cysts: Prenatal diagnosis, management and postnatal outcome. Ultrasound Obstet Gynecol 2002;20:47-50.
10. Vyas ID, Variend S, Dickson JA. Ruptured ovarian cyst as a cause of ascites in a newborn infant. Z Kinderchir 1984;39:143-4.
11. Monnery-Noché ME, Auber F, Jouannic JM, Bénifla JL, Carbonne B, Dommergues M, et al. Fetal and neonatal ovarian cysts: Is surgery indicated? Prenat Diagn 2008;28:15-20.
12. Cesca E, Midrio P, Boscolo-Berto R, Snijders D, Salvador L, D’Antona Det al. Conservative treatment for complex neonatal ovarian cysts: A long-term follow-up analysis. J Pediatr Surg 2013;48:510-5.
13. Luzzatto C, Midrio P, Toffolutti T, Suma V. Neonatal ovarian cysts: Management and follow-up. Pediatr Surg Int 2000;16:56- 9.
14. Trotman GE, Zamora M, Gomez-Lobo V. Non-surgical management of the auto-amputated adnexa in the neonate: A report on two cases. J Pediatr Adolesc Gynecol 2014;27:107-10.
15. Lass A, Brinsden P. The role of ovarian volume in reproductive medicine. Hum Reprod Update 1999;5:256-66.