TheFetus.net

Case of the Week #530

Turnova P (1); Biringer K (1); Visnovcova N (2); Zibolen M (3)

Affiliations
(1)  Department of Obstetrics and Gynecology, Martin University Hospital , Slovakia.  Email: petraturnova@hotmail.com
(2)  Department of Pediatric Surgery, Martin University Hospital , Slovakia
(3)  Department of Neonatology, Martin University Hospital, Slovakia

Posting Dates:  January 21, 2021 - February 11, 2021

Case Report: A 31-year-old G2P1 was referred at 37 weeks of pregnancy due to a cystic abdominal mass. Her previous ultrasonographic examinations at 12, 20 and 30 weeks were reported to be normal, and the course of the pregnancy was uneventful.

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Image 1: 2D scan of the fetal abdomen, 37 weeks of pregnancy
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Image 2: 2D scan of the fetal abdomen, 37 weeks of pregnancy
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Image 3: 2D scan of the fetal abdomen, 37 weeks of pregnancy
Video 1

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Answer

We present a case of ovarian cyst hemorrhage and torsion.

Our ultrasound examination revealed a heterogenous mass located in the left side of the pelvis and abdomen. The fetus had no tachycardia and middle cerebral artery peak systolic velocity was normal. The baby was born at 38 weeks of pregnancy. The surgery was performed at 5 days and the diagnosis of ovarian cyst torsion was confirmed.

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Image 4: postnatal surgery showing a brown cystic mass with twisted peduncle and peri-cystic adhesions. The left ovary and the tube were necrotic and were removed.
Img05 COW530
Image 5: postnatal surgery showing a brown cystic mass with twisted peduncle and peri-cystic adhesions. The left ovary and the tube were necrotic and were removed.

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