Prenatal torqued and infarcted ovarian cyst :: Peer Reviewed Pediatric Radiology Cases: :: The peer reviewed Pediatric Radiology teaching file server / case collection

ID: 20050628083729 ( 215 times read )	(PubMed Reader)
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	Prenatal torqued and infarcted ovarian cyst Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729
	Images to this case:	[ Ultrasound ] [ OP-Situs ] [ All ]
	Author/s:	Dirk Schaper (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle)
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	Age:	0 Months
	Gender:	Female
	Region-Organ:	Pelvis-Ovars
	Most likely etiology:	congenital
	History:	This cystic lesion in the right lower abdominal quadrant could be seen prenatally. Postnatal confirmation of the sonographic findings. Clinically, this female patient was unremarkable, except for a soft resistance was palpable.
	Pathomorphology or Pathophysiology of this disease :	N/A
	Radiological findings:	<- view Ultrasound 1 Ultrasound 1: Right lower abdominal quadrant with large cystic mass and sedimentation. <- view Ultrasound 2 Ultrasound 2: Right lower abdominal quadrant with large cystic mass and sedimentation and a central, non-echogenic structure. <- view Ultrasound 3 Ultrasound 3: Right lower-middle quadrant, cystic mass close to the urinary bladder, thin walled. <- view OP-Situs 1 OP-Situs 1: Pathology with some contents. <- view OP-Situs 2 OP-Situs 2: Surgical preparation.
	Diagnosis confirmation:	Surgery / Histo
	Which DD would be also possible with the radiological findings:	Mesenterial cyst, bleeding lymphangioma, duplication
	Course / Prognosis / Frequency / Other :	Since the mass was large and regression was absent, the indication for laparotomy was present. Intra-operatively, a filled, elastic mass (about 5x7 cm) which had the color of creamed coffee, was found. This mass was filled with coffee-grounds-like content. The vessel stem, which was supplying nutrients to the mass, was torqued. The surrounding adnexes were also infarcted.
	Comments of the author about the case:	N/A
	First description / History:	N/A
	Literature:	N/A
	Keywords:	Ovary, Ovaries, Cyst, Torsion, prenatal, infarction, ovarian cyst, prenatal torqued ovarian cyst, prenatal infarcted ovarian cyst, child, childhood, pediatric radiology
	Cite this article:	Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729
	Read similar articles:	with corresponding keywords in the same field: Pelvis-Ovars or in the region: Pelvis or in the tissue/organ: Ovars or with the etiology: congenital
	Images to this case:	[ Ultrasound ] [ OP-Situs ] [ All ]
	Prenatal torqued and infarcted ovarian cyst Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729
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Prenatal torqued and infarcted ovarian cyst Other cases by these authors: Dirk Schaper (43) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Extended triplane I fracture 6: Vitelline duct cyst 7: Perforated appendicolith 8: Gallbladder hydrops with evolving cholecystitis 9: Hydatid torsion 10: Ectopic ureterocele 11: Thoracic lymphangioma with acute hemorrhage 12: Complicated van Neck's Disease 13: Pathologic fracture with juvenile bone cyst 14: Spondylodiscitis L4/5 15: Hypertrophic pyloric stenosis 16: Acute appendicitis 17: Congenital diaphragmatic hernia (CDH), left 18: Stress fracture of the proximal tibia 19: Ileocolic invagination, pneumatic devagination 20: Pancreatic rupture with pseudocyst formation 21: Testicular fracture 22: Inguinal hernia containing ovary 23: Cranial fracture - parietal 24: Omental cyst 25: Ureterocele (adult form) 26: Functional right ovarian cyst 27: Bladder Diverticulum with Double Kidneys and Duplicated Ureter 28: Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst 29: Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter 30: Bochdalek's Hernia with pleuroperitoneal covering 31: Reversible Ceftriaxone Associated Biliary Pseudolithiasis 32: Splenic Lymphangioma 33: Prenatal torqued and infarcted ovarian cyst 34: Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele 35: Unilocular Congenital Hepatic Cyst 36: Congenital internal Duodenal Stenosis 37: Temporary Obstruction of the Appendix 38: Spermatocele 39: Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis 40: B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma) 41: Rapunzel syndrome grade I° due to trichobezoar 42: Bowel perforation and ileus after ingestion of magnets 43: CES - Congenital Esophageal Stenosis Prenatal torqued and infarcted ovarian cyst
	Prenatal torqued and infarcted ovarian cyst Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729
Which diagnosis have other collegues guessed? Torqued Ovarian Cyst Votes: 6 (75 %) Teratoma Votes: 0 (0 %) Intestinal Duplication Votes: 2 (25 %) Dystopic, Hydronephrotic Kidney Votes: 0 (0 %) Lymphangioma Votes: 0 (0 %) Total answers: 8
	Prenatal torqued and infarcted ovarian cyst Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729
Medical Dictionary Search in medical dictionary for Or type in a keyword ( Provided by The On-Line Medical Dictionary ) How interesting was this case for you? (10 = most interesting \|\| 1 = less interesting) This case was evaluated as interesting (Grade 5).
	Prenatal torqued and infarcted ovarian cyst Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6. URL: www.PedRad.info/?search=20050628083729