A GIANT THECA LUTEIN CYST IN A NEWBORN: HOW TO APPROACH?

Authors : Aziz Serhat Baykara, Bahattin Erdoğan

Pages : 255-257

View : 31 | Download : 121

Publication Date : 2023-10-16

Article Type : Other Papers

Abstract :Introduction: Ovarian cysts constitute an important proportion of abdominal cysts detected in the perinatal period. Here, a case of giant ovarian cyst detected in a female neonate born at 35+4 gestational weeks without antenatal follow-up was presented. Case Presentation: A premature female baby was born with gestational week of 35+4. Her physical examination revealed a distension due to a palpable mass on the left abdomen. Ultrasonography revealed a 73x85 mm cystic mass while magnetic resonance imagination demonstrated that this lesion originated from the left ovary and was not associated with other abdominal structures. A respiratory distress secondary to abdominal distension developed on the postnatal seventh day. In surgery, a giant cystic lesion originating from the left ovary was totally excised by preserving the ovary. Histopathology revealed a benign theca lutein cyst. The patient was uneventfully discharged on the 10th postoperative day. Conclusion: Ovarian cysts should be always kept in mind in the differential diagnosis of abdominal cystic masses in the perinatal period. Treatment includes a wide spectrum from conservative approaches to aggressive surgery. A timely surgical intervention is of great importance for the prevention of serious complications, such as abdominal distension, intestinal obstruction, and respiratory distress.
Keywords : over kisti, teka lutein kisti, yenidoğan