Role of sonography in diagnosing neonatal and infant ovarian cysts torsion

doi:10.3877/cma.j.issn.1672-6448.2019.03.008

Abstract

Abstract:

Objective

To summary the sonographic appearance of ovarian cysts torsion in neonatal and infants, and evaluate the value of cysts with fluid-debris and cysts with retracting clots in diagnosing torsion.

Methods

The characteristics of the ultrasound images in 83 cases of neonatal and infants (84 ovals total) with ovarian cysts in Beijing Children's Hospital affiliated to Capital Medical University from January 2006 to December 2016 were retrspectively analyzed. Fifty-three cases were confirmed with torsion by surgery and pathology, and 31 cases were confirmed without torsion.

Results

Among 84 ovarian cysts, 51 were diagnosed as complex cysts by ultrasound before surgery, which contained fluid-debris and/or retracting clots, and 46 of them were confirmed with torsion by surgery and pathology. While other 33 cysts were diagnosed as simple cysts, and only 7 of them were confirmed with torsion by surgery and pathology.

Conclusion

It is valuable to diagnose ovarian cyst torsion by fluid-debris and retracting clots.

Key words: Ultrasonography, Newborn, Ovarian cyst torsion

Yanchun Cui, Liqun Jia, Xiaoman Wang. Role of sonography in diagnosing neonatal and infant ovarian cysts torsion[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(03): 198-201.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2019.03.008

https://chaosheng.cma-cmc.com.cn/EN/Y2019/V16/I03/198

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References 18

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类别	个数	超声表现		手术病理诊断
类别	个数	囊内出血坏死^a	无囊内出血坏死	囊内出血坏死	无囊内出血坏死
卵巢囊肿蒂扭转	53	46	7	53	0
卵巢单纯性囊肿	31	5	26	7	24

类别	个数	超声表现		手术病理诊断
类别	个数	囊内出血坏死^a	无囊内出血坏死	囊内出血坏死	无囊内出血坏死
卵巢囊肿蒂扭转	53	46	7	53	0
卵巢单纯性囊肿	31	5	26	7	24

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