ABSTRACT
Fetal ovarian cysts are rare abdominal tumors with unknown pathogenesis. They may be diagnosed accidentally during ultrasonography. Fetal ovarian cysts pose the risk of rupture or torsion with subsequent loss of the affected ovary. Diagnosis and appropriate management reduce acute and long-term complications. The case was the fetus of a 26 year old primigravida in the 37th week of gestation in Babol in 2005. A unilateral fetal simple ovarian cyst with a diameter of 30 mm was diagnosed during ultrasonography. The case was delivered by cesarean section due to fetal distress a week later. The neonate was followed up after birth and the cyst was spontaneously disappeared after 45 days. In fetal ovarian cysts, there may be good outcomes following conservative management. After delivery, decrease of hormonal stimulation may lead to the spontaneous resolution of ovarian cysts. Surgical procedures are performed if complications such as trosion or rupture of the cyst develop