గైనకాలజీ & ప్రసూతి కేసు నివేదిక అందరికి ప్రవేశం

నైరూప్య

Torsion of In-utero Fetal Ovarian Cyst

Natarajan L, Arunachalam P, Maheshwari L and Balasubramanian KK

A 22 year old primi-gravida was diagnosed to have a 6.3 cm × 5 cm × 5.37 cm hemorrhagic gonadal cyst in fetus at 38 weeks of gestation by growth scan, on follow-up. At term gestation, she delivered a female baby by vacuum assisted vaginal delivery, weighed 2.86 kg, no other anomalies. X-ray done at 1st hour of life showed mass on the right side. USG abdomen done showed an intraperitoneal cystic lesion (5.7 cm × 3.9 cm × 6.3 cm) in right lumbar quadrant of abdomen and pediatric surgeon was consulted. Baby was taken for diagnostic laparoscopy on second day of life.

Findings: Right large ovarian cyst with torsion with adhesions to small bowel. 75 ml of hemorrhagic fluid drained and ovarian cystectomy done, sample sent for histopathological examination, turned out to be a simple cyst. Baby discharged on day 7 of life (POD 5), hemodynamically stable and on direct breast feeding, tolerated well.