Dirk Schaper (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle)  

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0 Months  

Female  

Pelvis-Ovars  

congenital  

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.  

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<- 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.


 

Surgery / Histo  

Mesenterial cyst, bleeding lymphangioma, duplication  

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.  

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Ovary, Ovaries, Cyst, Torsion, prenatal, infarction, ovarian cyst, prenatal torqued ovarian cyst, prenatal infarcted ovarian cyst, child, childhood, pediatric radiology  

Dirk Schaper. Prenatal torqued and infarcted ovarian cyst. PedRad [serial online] vol 5, no. 6.
URL: www.PedRad.info/?search=20050628083729