A Case of Ruptured Ovarian Cyst in a Newborn.

Oh,  Ki Won; Kim,  Joon Sung; Bae,  Hwa Young; Kim,  Ja Hyeong; Jeong,  Jin Young; Nam,  Chang Woo; Choi,  Seong Hoon; Park,  Sang Kyu

Case Report

Journal of the Korean Society of Neonatology 2008;15(1):100-104.
Published online May 1, 2008.

A Case of Ruptured Ovarian Cyst in a Newborn.

Ki Won Oh, Joon Sung Kim, Hwa Young Bae, Ja Hyeong Kim, Jin Young Jeong, Chang Woo Nam, Seong Hoon Choi, Sang Kyu Park

¹Department of Pediatrics, University of Ulsan College of Medicine, Ulsan, Korea. pedkjs@uuh.ulsan.kr
²Department of Surgery, University of Ulsan College of Medicine, Ulsan, Korea.
³Department of Radiology, University of Ulsan College of Medicine, Ulsan, Korea.

신생아에서 발생한 파열된 난소 낭종 1례

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Abstract

Ovarian cysts are the most common cystic abdominal masses in female newborns. It is believed to be derived from an overstimulation of the ovarian follicles by maternal, placental, and fetal hormones. Although most ovarian cysts resolve spontaneously, surgical management is mandatory for life-threatening, complicated cases, including torsion, intracystic hemorrhage, and rupture of the cyst. Rupture of ovarian cysts is thought to be exceedingly rare, but can lead to severe hemorrhagic ascites or peritonitis. We managed a case of a ruptured ovarian cyst in a female newborn who presented with mild abdominal distension and two episodes of gross hematuria. Exploratory laparotomy revealed a right ovarian cyst with torsion and rupture. She was successfully treated with a right salpingo-oophorectomy with no sequelae.

Key Words: Ovarian cyst; Rupture; Torsion; Newborn