- 期刊
Prenatal Diagnosis of Fetal Ovarian Cyst Torsion and Serial Follow-up
產前診斷併系列完整追蹤胎兒卵巢囊腫合併扭轉
摘要
目的：雖然胎兒卵巢囊腫十分常見，但一旦合併囊腫扭轉可能有其危險性。胎兒卵巢囊腫是最常見的腹腔囊腫之一。我們報告一產前診斷胎兒卵巢囊腫合併扭轉之系列完整追蹤的病例。 病例報告：一個十九歲女性，在妊娠三十四週時因疑胎兒腹腔囊腫來院求診。詳細及立體超音波發現一胎兒腹腔囊腫，疑為卵巢囊腫（5.0×4.7×4.0公分）。兩週後，囊腫變小（5.5×3.2×2.4公分），而再過一週，囊腫消失。嬰兒出生後接受超音波檢查及電腦斷層檢查證實腹腔內囊腫。而後接受右側卵巢切除手術。最後病理報告為濾泡黃體囊腫。 結論：大部分的胎兒卵巢囊腫為良性，通常是因母親的賀爾蒙變化所致。大部分都有很良好的預後。然而，胎兒卵巢囊腫還是有一些像是扭轉或是破裂的併發症。因此，一旦懷疑胎兒卵巢囊腫合併扭轉，產前超音波系列追蹤是必要的，並且必須在出生之後立即做完整之檢查以及照會外科作必要之處置。
並列摘要
Objective: Although fetal ovarian cysts are common, congenital ovarian cysts torsion may be hazardous. We present a case of a fetal ovarian cyst torsion detected prenatally by serial ultrasonographic assessment and postpartum management. Case Report(s): A 19-year-old female at 34 weeks’ gestation was referred to our hospital because of fetal abdominal cyst. The two-dimensional and three-dimensional ultrasound showed a fetal ovarian tumor (5.0×4.7×4.4cm) with cystic shadow. At 36 weeks’ gestation, the tumor was smaller (5.5×3.2×2.4cm). However, at 38 weeks’ gestation, the tumor could not be detected by ultrasound and ovarian cyst with torsion was suspected. After birth, the newborn received abdominal ultrasound and computerized tomography. Right oophorectomy was performed postnatally. The pathologic result revealed follicular-lutein cyst with torsion. Conclusion(s): Congenital ovarian cysts usually have a good prognosis. However, the cyst may undergo complications such as torsion and rupture. When a fetal ovarian cyst with torsion is suspected, serial ultrasound examinations should be performed prenatal, and complete investigation as well as surgical consultation should be undertaken immediate after birth to prevent further complications.