ULTRASOUND DIAGNOSIS OF FETAL OVARIAN CYST TORSION AND APOPLEXY


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Abstract

Objective. To reveal the characteristic echographic signs of complicated fetal ovarian cysts. Material and methods. An analysis was made of 7 cases of intrauterine ovarian cyst torsion and 1 case of fetal ovarian cyst rupture, which had been identified ultrasonographically at 34—38 and 33 weeks of gestation, respectively. Results. The characteristic echographic signs of cyst torsion were a space-occupying lesion of the ovary with echogenic precipitate, as well as the thick wall and time course of increases in lesion size. The echographic signs of cyst apoplexy were increased sizes of the ovary, its space-occupying lesion of heterogeneous spongious structure, and fetal abdominal fluid, which suggested the presence of blood. All newborn infants were surgically treated after birth. The diagnosis was histologically verified. Conclusion. Echography makes it possible to diagnose fetal cyst pedicle torsion and ovarian apoplexy just in the intrauterine period with a rather high degree of accuracy and to decide to choose the most rational option for this pathology.

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About the authors

V. N Demidov

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: v_demidov@oparina4.ru

N. V Mashinets

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Yu. L Kucherov

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

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