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The Pediatric Forum |

Ovarian Cyst and Torsion in a Young Infant

Harvey J. Hamrick, MD; Lynn Ansley Fordham, MD
Arch Pediatr Adolesc Med. 1998;152(12):1245-1246. doi:.
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Prior to the widespread use of prenatal ultrasonography, neonatal ovarian cysts and associated complications were the subject of only occasional case reports of cysts large enough to be detected on physical examination. In the past 15 years, prenatal ultrasonography has greatly increased the detection of these cysts. The purpose of this report is to alert pediatricians to the clinical spectrum of neonatal ovarian cysts and to the various diagnostic and management strategies employed to prevent complications. There are many recent papers on this topic in the surgical, obstetrical, and radiological literature but, to our knowledge, this is the first report in the US pediatric literature in the past 9 years.1

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Sonography reveals mixed echogenic and anechoic areas in this 2.5-cm ovary outlined by arrows. No blood flow is seen within the ovary by color Doppler sonography, suggesting a diagnosis of ovarian torsion. Prominent color Doppler signal surrounding the ovary was likely secondary to adhered, inflamed sigmoid colon.

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