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KMID : 0438520080150010100
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Journal of the Korean Society of Neonatology
2008 Volume.15 No. 1 p.100 ~ p.104
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A Case of Ruptured Ovarian Cyst in a Newborn
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Oh Ki-Won
Bae Hwa-Young
Kim Ja-Hyeong
Jeong Jin-Young
Kim Joon-Sung
Nam Chang-Woo
Choi Seong-Hoon
Park Sang-Kyu
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Abstract
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Ovarian cysts are the most common cystic abdominal masses in female newborns. It is believed to be derived from an overstimulation of the ovarian follicles by maternal, placental, and fetal hormones. Although most ovarian cysts resolve spontaneously, surgical management is mandatory for life-threatening, complicated cases, including torsion, intracystic hemorrhage, and rupture of the cyst. Rupture of ovarian cysts is thought to be exceedingly rare, but can lead to severe hemorrhagic ascites or peritonitis. We managed a case of a ruptured ovarian cyst in a female newborn who presented with mild abdominal distension and two episodes of gross hematuria. Exploratory laparotomy revealed a right ovarian cyst with torsion and rupture. She was successfully treated with a right salpingo-oophorectomy with no sequelae.
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KEYWORD
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Ovarian cyst, Rupture, Torsion, Newborn
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