Ovarian cysts in the fetus: diagnosis, observation and options for intrauterine correction

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Abstract

This article describes a clinical case of managing pregnant women with ovarian cysts in the fetus and further monitoring and treatment of the child. Ovarian cysts are the most common abdominal abnormalities diagnosed in female fetuses. We herein discuss the tactics in relation to the female fetus, intrauterine risks and prognosis of her survival in this pathology, as well as the possibility of choosing a method for correcting ovarian cysts in the fetus and their complications during pregnancy and after childbirth. In the case of complex and / or large ovarian cysts, timely prenatal diagnosis is extremely important, which significantly improves the prognosis and allows prenatal measures aimed at stabilizing the condition of the fetus and the pregnant woman. On the example of this clinical case, we assessed the possibility of preserving the unchanged ovarian tissue and reducing the risks of life-threatening complications in the case of a significant amount of cystic formation. This article describes in detail the stages of the management of pregnancy, childbirth and the neonatal period, as well as the therapeutic and surgical correction of this severe pathology with further early rehabilitation.

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About the authors

Nikita R. Ryabokon

Almazov National Medical Research Center

Author for correspondence.
Email: n-i-k-o-n@mail.ru
ORCID iD: 0000-0002-5152-6112
SPIN-code: 5146-4283

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Philipp A. Ovsyannikov

Almazov National Medical Research Center

Email: sivers@yandex.ru
ORCID iD: 0000-0002-3176-8958
SPIN-code: 2511-2772

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Anna A. Sukhotskaya

Almazov National Medical Research Center

Email: anna.a.sukhotskaya@gmail.ru
ORCID iD: 0000-0002-8734-2227
SPIN-code: 6863-7436
Scopus Author ID: 57215907643

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Darya A. Malysheva

Almazov National Medical Research Center

Email: dashila@mail.ru
ORCID iD: 0000-0002-7573-8726
SPIN-code: 3367-8610
Russian Federation, Saint Petersburg

Vladimir G. Bairov

Almazov National Medical Research Center

Email: vbairov@gmail.com
ORCID iD: 0000-0002-8446-830X
SPIN-code: 6025-8991

MD, Dr. Sci. (Med.), Title Professor

Russian Federation, Saint Petersburg

Ekaterina V. Semibratova

Almazov National Medical Research Center

Email: semibratova.97@list.ru
ORCID iD: 0009-0004-4608-5369
Russian Federation, Saint Petersburg

Irina E. Zazerskaya

Almazov National Medical Research Center

Email: zazerskayara@almazovcentre.ru
ORCID iD: 0000-0003-4431-3917
SPIN-code: 5683-6741
Scopus Author ID: 55981393900
ResearcherId: AAI-1309-2020

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

References

  1. Bogdanova EA. Ginekologiya detei i podrostkov. Moscow: MIA; 2000. (In Russ.)
  2. Veropotvelyan NP, Bondarenko AA, Smorodskaya EP, et al. Prenatal’naya aspiratsiya bol’shoi oslozhnennoi kisty yaichnika u ploda. Medichnі aspekti zdorov’ya zhіnki. 2012;(6-7(58-59)):18–24. (In Russ.)
  3. Cass DL. Fetal abdominal tumors and cysts. Transl Pediatr. 2021;10(5):1530–1541. doi: 10.21037/tp-20-440
  4. Hasiakos D, Papakonstantinou K, Bacanu AM, et al. Clinical experience of five fetal ovarian cysts: diagnosis and follow-up. Arch Gynecol Obstet. 2008;277(6):575–578. doi: 10.1007/s00404-007-0508-0
  5. Dugoff L, Thieme G, Hobbins JC. Skeletal anomalies. Clin Perinatol. 2000;27(4):979–1005. doi: 10.1016/s0095-5108(05)70060-9
  6. Katz VL, McCoy MC, Kuller JA, et al. Fetal ovarian torsion appearing as a solid abdominal mass. J Perinatol. 1996;16(4):302–304.
  7. De Backer A. Ovarian cyst and tumors. In: Operative endoscopy and endoscopic surgery in infants and children. Ed. by A. Najmaldin, S. Rothenberg, D. Crabbe, et al. London: CRC Press; 2005. P. 449–455. doi: 10.1201/b13490
  8. Medvedev MV, Rud’ko GG. Polovaya sistema In: Prenatal’naya ekhografiya. Ed. by M.V. Medvedev. Moscow: Real’noe Vremya; 2005. P. 515–524. (In Russ.)
  9. Vrozhdennye poroki razvitiya. Prenatal’naya diagnostika i taktika. Ed. by B.M. Petrikovskiy, M.V. Medvedev, E.V. Yudina. Moscow: Real’noe Vremya; 1999. (In Russ.)
  10. Mortellaro VE, Fike FB, Sharp SW, et al. Operative findings in antenatal abdominal masses of unknown etiology in females. J Surg Res. 2012;177(1):137–138. doi: 10.1016/j.jss.2012.04.017
  11. Sakala EP, Leon ZA, Rouse GA. Management of antenatally diagnosed fetal ovarian cysts. Obstet Gynecol Surv. 1991;46(7):407–414. doi: 10.1097/00006254-199107000-00001
  12. Demidov VN. Ekhografiya pri kistakh i opukholyakh yaichnikov u ploda. Prenatal diagn. 2003;2(2):104–107. (In Russ.)
  13. Demidov VN, Mashinets NV, Kucherov YL. Ultrasound diagnosis of fetal ovarian cyst torsion and apoplexy. Obstetrics and Gynecology. 2011;(1):81–83. (In Russ.)
  14. Manjiri S, Padmalatha SK, Shetty J. Management of complex ovarian cysts in newborns — our experience. J Neonatal Surg. 2017;6(1). doi: 10.21699/jns.v6i1.448
  15. Benson SB, Dubilet PM. Ekhograficheskoe obsledovanie mochepolovoi sistemy ploda. In: Ekhografiya v akusherstve i ginekologii: teoriya i praktika. Ed. by A. Fleisher, F. Menning, F. Dzhenti, et al. Moscow: Vidar; 2004. P. 469–484. (In Russ.)
  16. Crombleholme TM, Craigo SD, Garmel S, et al. Fetal ovarian cyst decompression to prevent torsion. J Pediatr Surg. 1997;32(10):1447–1449. doi: 10.1016/s0022-3468(97)90558-3
  17. Bascietto F, Liberati M, Marrone L, et al. Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2017;50(1):20–31. doi: 10.1002/uog.16002
  18. Nussbaum AR, Sanders RC, Hartman DS. Neonatal ovarian cysts: sonographic-pathologic correlation. Radiology. 1988;168(3):817–821.

Supplementary files

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2. Fig. 1. Classification of ovarian cysts in the fetus [18]. d — diameter

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3. Fig. 2. Ultrasound picture of an ovarian cyst before (left) and after (right) puncture

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4. Fig. 3. Fetal magnetic resonance imaging at 37 weeks and 5 days of gestation

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5. Fig. 4. Ovarian cyst during laparoscopy after birth before (left) and after (right) fenestration

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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