Study on the prenatal and postnatal ultrasound diagnosis of fetal ovarian cyst torsion compared with pathology

doi:10.3877/cma.j.issn.1672-6448.2018.05.008

Abstract

Abstract:

Objective

To summarize the sonographic features of fetal ovarian cyst and compare with postnatal pathology results.

Methods

A total of 173 853 fetuses were examined in our hospital from January 2013 to June 2017. Five of them were diagnosed with ovarian cyst torsion and then confirmed after birth.

Results

All 5 cases were singleton, female, and unilateral. One of them was simple cyst with thin wall, and the other four were complex type cysts with thick wall and mixed echo inside. There was no blood supply inside the cyst. Ovarian torsion necrosis were confirmed during operation after birth, and hemorrhagic infarction with calcification were detected in all cases.

Conclusions

Fetal ovarian cyst torsion should be suspected, if the size, location and content of the cyst changed during follow up. It helps to make rational diagnosis and choose treatment.

Key words: Ultrasonography, prenatal, Fetal, Ovarian cysts, Pathology

Li Zhang, Xiaohong Yang, Sheng Zhao, Peiwen Chen, Junhong Huang, Yuhan Wu. Study on the prenatal and postnatal ultrasound diagnosis of fetal ovarian cyst torsion compared with pathology[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2018, 15(05): 366-369.

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URL: https://chaosheng.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1672-6448.2018.05.008

https://chaosheng.cma-cmc.com.cn/EN/Y2018/V15/I05/366

Figures/Tables 2

References 18

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孕妇年龄（岁）	孕周（周）	囊肿类型	卵巢囊肿产前超声表现
孕妇年龄（岁）	孕周（周）	囊肿类型	位置	直径（cm）	囊壁	内部回声	分隔	液平	血供
34	36^＋1	单纯型	右下腹	3.4	单层薄壁	无回声	无	无	无
28	32^＋3	复杂型	左上腹	3.9	单层厚壁	无回声及高回声	有	有	无
25	34	复杂型	右上腹	3.4	单层厚壁	低回声及无回声	无	无	无
29	36^＋5	复杂型	左上腹	5.8	单层厚壁	无回声及实性回声	有	有	无
30	37^＋4	复杂型	左下腹	6.2	壁厚薄不均	无回声及团状回声	有	无	无
孕妇年龄（岁）	孕周（周）	首次复查（d）	卵巢囊肿产后超声表现
孕妇年龄（岁）	孕周（周）	首次复查（d）	位置	直径（cm）	囊壁	内部回声	分隔	液平	血供
34	36^＋1	26	右上腹	3.2	增厚	低回声	多	无	无
28	32^＋3	4	右下腹	4.3	厚薄不均、钙化	密集点状	无	无	无
25	34	1	右下腹	4.2	无	密集点状	多	无	无
29	36^＋5	10	右下腹	6.0	无	密集点状	有	无	无
30	37^＋4	29	右下腹	6.5	钙化	无	多	有	无

孕妇年龄（岁）	孕周（周）	囊肿类型	卵巢囊肿产前超声表现
孕妇年龄（岁）	孕周（周）	囊肿类型	位置	直径（cm）	囊壁	内部回声	分隔	液平	血供
34	36^＋1	单纯型	右下腹	3.4	单层薄壁	无回声	无	无	无
28	32^＋3	复杂型	左上腹	3.9	单层厚壁	无回声及高回声	有	有	无
25	34	复杂型	右上腹	3.4	单层厚壁	低回声及无回声	无	无	无
29	36^＋5	复杂型	左上腹	5.8	单层厚壁	无回声及实性回声	有	有	无
30	37^＋4	复杂型	左下腹	6.2	壁厚薄不均	无回声及团状回声	有	无	无
孕妇年龄（岁）	孕周（周）	首次复查（d）	卵巢囊肿产后超声表现
孕妇年龄（岁）	孕周（周）	首次复查（d）	位置	直径（cm）	囊壁	内部回声	分隔	液平	血供
34	36^＋1	26	右上腹	3.2	增厚	低回声	多	无	无
28	32^＋3	4	右下腹	4.3	厚薄不均、钙化	密集点状	无	无	无
25	34	1	右下腹	4.2	无	密集点状	多	无	无
29	36^＋5	10	右下腹	6.0	无	密集点状	有	无	无
30	37^＋4	29	右下腹	6.5	钙化	无	多	有	无

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