A Case of Autonomous Ovarian Cyst with Severe Vaginal Bleeding / 대한소아내분비학회지
Journal of Korean Society of Pediatric Endocrinology
;
: 231-236, 1999.
Article
in Korean
| WPRIM
| ID: wpr-168798
ABSTRACT
Small ovarian cysts(<0.7 cm in diameter) are common in prepubertal children. Occasionally larger cysts occur in young girls with isosexual incomplete precocious puberty in the absence of LH and FSH elevation. The mechanism of production of these autonomous functioning cysts is unknown. A 3 year 6 month-old girl was referred to our department of pediatrics because of severe vaginal bleeding. On examination, she was tall and had breast enlargement of Tanner stage II. On hormonal study, FSH(0.38mIU/ml) was suppressed and estradiol(62.2pg/ml) was markedly elevated, and GnRH stimulation failed to evoke an increase in gonadotropin. Bone age was advanced. Pelvic ultrasonography showed both huge ovarian cysts. Brain MRI showed no abnormalities. We underwent both ovarian cystectomy and histological examination showed follicular cyst in left ovary and luteal cyst in right ovary. After ovarian cystectomy vaginal bleeding stopped and hormonal abnormalities were normalized. We report a case of autonomous ovarian cysts presenting severe vaginal bleeding treated with ovarian cystectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ovarian Cysts
/
Ovary
/
Pediatrics
/
Puberty, Precocious
/
Uterine Hemorrhage
/
Follicular Cyst
/
Brain
/
Breast
/
Magnetic Resonance Imaging
/
Cystectomy
Type of study:
Diagnostic study
Limits:
Child
/
Female
/
Humans
/
Infant
Language:
Korean
Journal:
Journal of Korean Society of Pediatric Endocrinology
Year:
1999
Type:
Article
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