title: Prenatal diagnosis and management of a massive fetal ovarian hemorrhagic cyst torsion with secondary fetal anemia.
abstract: We report the case of one of the largest prenatally detected fetal hemorrhagic cyst with ovarian torsion and fetal anemia leading to subsequent cesarean section delivery and further unilateral oophorectomy of the neonate. Usually, fetal ovarian cysts tend to resolve spontaneously within the first months after birth. There is no need of surgical treatment for such simple cysts. Routine sonographic examinations are obligatory, because in some cases complications such as massive hemorrhage, cyst rupture, or ovarian torsion with following infarction can occur. With the occurrence of these complex cyst signs by sonographic investigation, subsequent intervention should be considered by an interdisciplinary team.
authors.affiliation: Feto-Maternal Medicine Unit, Department of Obstetrics, Charité University Hospital, Humboldt University, Berlin, Germany.
authors.forename: Irena
authors.initials: I
authors.lastname: Vitezica
authors.forename: Christof
authors.initials: C
authors.lastname: Czernik
authors.forename: Karin
authors.initials: K
authors.lastname: Rothe
authors.forename: Larry
authors.initials: L
authors.lastname: Hinkson
authors.forename: Barbara
authors.initials: B
authors.lastname: Ladendorf
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Henrich
mesh_terms: D000328:Adult; D000740:Anemia / Q000150:complications* / Q000196:embryology; D002585:Cesarean Section; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D010048:Ovarian Cysts / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods; D011247:Pregnancy; D014102:Torsion Abnormality / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal / Q000379:methods*
keywords: fetal anemia; fetal ovarian cyst; hemorrhage; ovarian torsion; prenatal diagnosis