Abstract
Purpose Fetal ovarian cysts' size and nature are considered as the most important factors
for determining the treatment modality. When to perform an intervention and to which
fetal ovarian cysts has not been clarified yet. We herein present our experience with
fetal ovarian cysts.
Materials and Methods The hospital records of 38 ovarian cysts (27 simple and 11 complex) were evaluated
retrospectively. The prenatal and postnatal outcomes of the cysts were investigated.
Results Prenatally at the 37 fetuses, 38 fetal ovarian cysts were evaluated retrospectively.
There were 27 simple and 11 complex fetal ovarian cysts followed by prenatally and
postnatally. None of the simple fetal ovarian cysts underwent in utero torsion. Postnatally,
23 simple ovarian cysts were regressed within 3 months. Four patients with simple
ovarian cysts larger than 4 cm were operated. During follow-up period, seven complex
ovarian cysts regressed, one complex ovarian cyst complicated with intestinal obstruction
underwent surgery, and three complex ovarian cysts did not regress and they were operated.
Three out of seven complex ovarian cysts that were initially regressed presented with
intestinal obstruction and oophorectomy plus adhesiolysis were performed. Surgical
treatment was required in 7 out of 11 (64%) complex ovarian cysts.
Conclusion Complex ovarian cysts lead to problems even after regression in the postnatal period
and require operative intervention sooner or later.
Keywords
fetal ovarian cyst - complex ovarian cyst - complicated ovarian cyst - intestinal
obstruction
