Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2011 , Vol 2, Issue 1
Therapeutic Dilemma In a Newborn With Bilaterally Enlarged Multicystic Ovaries and Absence of Primordial Follicles: a Case Report
Latif Abbasoğlu1, Ali Türk2, Alihan Özcan3
1Acıbadem Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi A.D., İstanbul, Türkiye
2Acıbadem Üniversitesi Tıp Fakültesi, Radyoloji A.D., İstanbul, Türkiye
3Acıbadem Bakırköy Hastanesi, Kadın Hastalıkları ve Doğum Bölümü, İstanbul, Türkiye
Bilateral ovarian cysts of 5 cm diameters each were detected in the fetus of a 30-year-old gravida 1 pregnant woman during 30 weeks of gestation. Postnatal ultrasound and MR scans revealed multicystic lesions in both ovaries (R:10 cm, L: 7cm) without any solid component, and displacement of intestine and kidneys. At operation, after performing bilateral wedge resection, drilling procedure was done. The histopathology results reported multiple aluteinized follicular cysts without any primordial follicles. Our case presents difficulty in terms of treatment choices particularly because of bilateral disease without any normal ovarian tissue. Keywords : ovarian cysts, prenatal diagnosis, postnatal surgery