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    Go to the top of the page   ID: 20040120163117 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, P. Göbel (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Weeks  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Ovars  

     
     Pediatric Radiology CasesMost likely etiology:

    other  

     
     Pediatric Radiology CasesHistory:

    Cesarean section due to H-gestosis after 32 gestational weeks. Postnatally, slight dyspnea and tachypnea, although good adaptation. Phototherapy for hyperbilirubinemia.

    In the course of time, continuous crying. Upon abdominal palpation, increased irritability. No vomiting.

    Age at presentation: 6 weeks.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Lower left abdomen, transverse: Close to the abdominal wall, an echo-free structure is nooted with an irregular shape and without definitive capsule. Within this structure, there is another echo-free spherical structure.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Lower left abdomen, sagittal: A structure is identified cranial to the bladder. A connection to the bladder cannot be excluded with certainty.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Lower left abdomen, transverse: Shown is the structure with its dimensions.




    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Laparoscopy of thel ower abdomen with the pathology being presented.




    OP-Situs 2 <- view OP-Situs 2

    OP-Situs 2: Surgery, laparoscopy , aspiration

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Mesenterial cyst, ureterocele, omental cyst  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Following diagnostic imaging, laparoscopy was performed for final diagnosis. The suspected ovarian cyst was confirmed; however there were two cysts which were very close to one another. Therefore the findings of a cyst within a cyst was made.

    The cysts were aspirated and consequently fenestrated. Furthermore, tissue was sent for histological examination.  

     
     Pediatric Radiology CasesComments of the author about the case:

    In case of a neonatal ovarian cyst, usually an awaiting position is acceptable if there are no symptoms and the finding does not cross any threshold values. In our case, the child was symptomatic and the findings were ambiguous. Therefore we decided for a laparoscopic therapy.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Vogtlander MF, Rijntjes-Jacobs EG, van den Hoonaard TL, Versteegh FG
    Neonatal ovarian cysts
    Acta Paediatr. 2003 Apr; 92(4): 498-501

    2. Medline: Medline
    Khong PL, Cheung SC, Leong LL, Ooi CG.
    Ultrasonography of intra-abdominal cystic lesions in the newborn
    Clin Radiol. 2003 Jun; 58(6): 449-54.

    3. Medline: Medline
    Mittermayer C, Blaicher W, Grassauer D, Horcher E, Deutinger J, Bernaschek G, Ulm B
    Fetal ovarian cysts: development and neonatal outcome.
    Ultraschall Med. 2003 Feb; 24(1): 21-6.  

     
     Pediatric Radiology CasesKeywords:

    Ovarian cyst, ovarian, cyst, neonate, newborn, septated cyst, septated ovarian cysts,cyst within a cyst, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117  

     
     Pediatric Radiology Cases 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: other
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117


     

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    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search P. Göbel in Medline P. Göbel (6)   

    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst  
     
    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117


     

    Which diagnosis have other collegues guessed?


    • Mesenterial cyst
      Votes: 1 (8 %)


    • Neonatal "chambered" ovarian cyst
      Votes: 10 (83 %)


    • Ureterocele
      Votes: 0 (0 %)


    • Omental cyst
      Votes: 1 (8 %)



        Total answers: 12

     
    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117


     

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    Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst
    Dirk Schaper, P Göbel. Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040120163117


     




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