Ovarian cyst

Fabrice Cuillier, MD*; Grandjean, MD**; A. Berta***

* Department of Gynecology, Félix Guyon"Hospital, 97400 Saint-Denis, Réunion, France;
** Gynecologist, Moufia"s treet, 97400 Saint-Denis, Réunion, France;
*** Student. Arizona State University. University Drive and Mill Avenue Tempe, Arizona 85281, USA.

Case report

A 30-year-old primigravida was referred to our antenatal unit at 34 weeks for further evaluation of a left fetal abdominal mass. Ultrasound examination performed at 12 and 24 weeks revealed no abnormality.

At 34 weeks the ultrasound scan revealed the left abdominal mass (70x50x45 mm) in diameter. The cyst appeared well demarcated. There was no polyhydramnios or hydrops. The couple was referred to genetic counseling to discuss additional testing options. Amniocentesis was not performed. The diagnosis was ovarian cyst.

At 39 weeks the ovarian cyst disappeared. The patient delivered naturally at 40 weeks, with normal postnatal adaptation of the neonate. At day 4, a postnatal sonography showed normal ovaries and uterus.

Images 1, 2: 34 weeks of pregnancy; Images show the ovarian cyst localized in the left lower part of the abdomen.

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Images 3, 4: 34 weeks of pregnancy; Images show the ovarian cyst localized in the left lower part of the abdomen with intracystic round structure "daughter cyst sign".

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Image 5: 34 weeks of pregnancy; 3D image of the ovarian cyst localized in the left lower part of the abdomen. 

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