Non-surgical management of the auto-amputated adnexa in the neonate: a report on two cases.
BACKGROUND
Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate.


METHODS
We report 2 cases of abdominal masses that were diagnosed in the antenatal period and were clinically consistent with auto-amputated adnexa followed with serial ultrasonography until resolution.


CONCLUSIONS
To our knowledge this is the first report in the literature to document resolution of 2 pelvic masses due to auto-amputated adnexa with expectant management. This suggests expectant management is an appropriate alternative to surgical management in carefully selected cases.
Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Georgetown University Hospital/Children's National Medical Center, Washington, DC. Electronic address: Gylynthia.E.Trotman@medstar.net.
Gylynthia E
GE
Trotman
Georgetown University School of Medicine, Washington, DC.
Melodie
M
Zamora
Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Georgetown University Hospital/Children's National Medical Center, Washington, DC.
Veronica
V
Gomez-Lobo
D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D010049:Ovarian Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014102:Torsion Abnormality / Q000150:complications* / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal; D057832:Watchful Waiting
antenatal ovarian torsion; autoamputation; neonatal ovarian cysts; neonatal pelvic mass