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. 2015 Dec;20(12):1186-90.
doi: 10.4103/1735-1995.172988.

Management of ovarian cysts in infants

Yan Xue-Qiang  1 , Zheng Nan-Nan  1 , Yu Lei  1 , Lu Wei  1 , Bian Hong-Qiang  1 , Yang Jun  1 , Duan Xu-Fei  1 , Qin Xin-Ke  1
Affiliations

Management of ovarian cysts in infants

Yan Xue-Qiang et al. J Res Med Sci. 2015 Dec.

Abstract

Background: To discuss the experience of diagnosis and treatment of ovarian cyst in infants.

Materials and methods: A retrospective review was conducted on 20 infants who suffered from ovarian cyst.

Results: There were no dysplasia ovarian was found in children which were preoperatively diagnosed simplex cyst. Within thirteen children preoperatively detected mixed cystic-solid lesion, six cases ovarian cysts disappeared and two cases underwent poor blood supply in the following time.

Conclusion: Adverse effects for ovarian cyst in infants can be prevented by agressive surgical intervention. Harmful effects of ovarian cyst can be prevented by positive surgical intervention despite the diagnostic difficulties in children with clinical symptoms of this condition.

Keywords: Infants; laparoscopic; ovarian cyst.

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Figures

Figure 1
Figure 1
Preoperative MRI/CT examination indicated quasi-circular cystic low-density lump image, and it could not be distinguished from intestinal duplication and mesenteric cyst (A and B) that is proved to be an ovarian cyst during the surgery. At an early stage, laparotomy and fenestration were conducted for the cases; at the late period, the surgery was completed under trans-umbilical double-port laparoscope for the cases (a and b). The postoperative pathological result indicated simple ovarian cyst (c and d)
Figure 2
Figure 2
At the follow-up, no ovary was seen in the affected side in six cases. Preoperative MRI/CT indicated the following symptoms: Mixed ingredients in the cyst and hemorrhage (a), calcification (c, d, and f), a large number of sediments (b, d, and e), and separations in the cyst (d). This was a complicated cyst that should be distinguished from the intestinal duplication, mesenteric cyst, and teratoma. It is proved to be an ovarian cyst during the surgery. At an early stage, laparotomy and enucleation were conducted for the cases; at the late period, the surgery was performed by three-port laparoscopy technique in abdomen for the cases [Figure 1A–F]. The postoperative pathological result (2g and h) indicated ovarian cyst disease accompanied by obsolete hemorrhage, calcification, and granuloma
Figure 3
Figure 3
Algorithm for the management of ovarian cyst in infants
See this image and copyright information in PMC

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