Neonatal ovarian cysts: role of sonography in diagnosing torsion
Annals of the Academy of Medicine, Singapore
;
: 291-295, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-229669
ABSTRACT
<p><b>INTRODUCTION</b>The purpose of this case series was to determine the sonographic features of neonatal ovarian torsion.</p><p><b>MATERIALS AND METHODS</b>Seven surgically proven cases of neonatal ovarian cysts were included in this retrospective study. The patients were divided into 2 groups, torsion and non-torsion. These 7 patients were evaluated for the clinical presentation, sonographic features, surgical and pathological findings. The findings on follow-up sonography after surgery were also noted.</p><p><b>RESULTS</b>The sonographic appearance was variable. Of the 4 cases with torsion, 2 lesions had internal echoes with 'fi sh-net appearance'. The other 2 lesions were predominantly cystic on the sonography with internal echoes and echogenic nodule. A calcific focus was present in 1 of these echogenic nodules. One of the cysts had fluid-fluid level. In the non-torsion group, only 1 lesion had mixed echogenic appearance. The other 2 lesions were cystic with low level internal echoes in 1 of the cysts. The surgical procedure performed in the torsion group was salpingo-oophorectomy in 2 patients and oophorectomy in 1 patient. In 1 patient, cystectomy was attempted without success. In the non-torsion group, only cystectomy was performed with preservation of normal ovaries, which was confirmed on follow-up sonography.</p><p><b>CONCLUSION</b>The sonographic features of cysts with 'fish-net appearance', fluid-debris level and cysts with echogenic nodule favour torsion. The former sign has so far not been described as a sonographic predictor for neonatal ovarian torsion.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cistos Ovarianos
/
Ovário
/
Patologia
/
Período Pós-Operatório
/
Cirurgia Geral
/
Anormalidade Torcional
/
Diagnóstico por Imagem
/
Estudos Retrospectivos
/
Ultrassonografia Doppler
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Recém-Nascido
Idioma:
Inglês
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2011
Tipo de documento:
Artigo
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