title: Two-port laparoscopic management of an autoamputated ovarian cyst in a newborn.
abstract: A 4-week-old newborn underwent laparoscopic removal of a hemorrhagic cyst measuring 4 cm in diameter. Preoperative diagnostics suggested autoamputation, which is a rare complication of fetal ovarian torsion. The laparoscopic procedure, lasting 26 minutes, was performed, without any major intraoperative complications--bleeding, rupture, or leakage. The modified 2-port technique was used. The identification of all structures was exact. The hemorrhagic cyst was freed of the cyst bed, suctioned to fit the size of the umbilical port, and removed. The presentation of a blind adnexal stump proved autoamputation. The condition of the contralateral ovary was verified. The authors present the laparoscopic procedure with the emphasis on the technique.
authors.affiliation: Department of Pediatric Surgery, Children's Hospital Zagreb, Zagreb, Croatia. stjepan.visnjic@zg.htnet.hr
authors.forename: Stjepan
authors.initials: S
authors.lastname: Visnjic
authors.forename: Mislav
authors.initials: M
authors.lastname: Domljan
authors.forename: Bozidar
authors.initials: B
authors.lastname: Zupancic
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D010049:Ovarian Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014102:Torsion Abnormality / Q000601:surgery*; D016216:Ultrasonography, Prenatal