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Z Geburtshilfe Neonatol 2023; 227(01): 64-66
DOI: 10.1055/a-1968-7319
Case Report

Fetal Ovarian Torsion Presenting with Fetal Abdominal Solid Mass and Ascites

Bengü Mutlu Sütcüoğlu
1   Department of Gynecology and Obstetrics, Lokman Hekim University, Ankara, Turkey
,
Deniz Karçaaltıncaba
2   Department of Perinatology, Gazi University, Ankara, Turkey
,
Ismail Guler
3   Department of Gynecology and Obstetrics, Gazi University, Ankara, Turkey
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Abstract

Fetal ovarian torsion is quite a rare event during the antenatal period and usually seen because of an ovarian cyst complication. In this case report, we present a case of fetal ovarian torsion without any ovarian cyst or underlying detectable causes. A 27-year-old primigravid woman with no significant past medical history had a routine prenatal ultrasound at 30 weeks’ gestation. The ultrasound showed abdominal ascites and a 47×42-cm intraabdominal solid diffuse mass at the left side under the stomach. Doppler examination showed no blood flow on the mass. Paracentesis was performed, cytological examination reported no abnormality. Based on these findings, the diagnosis was thought to be fetal ovarian torsion. There is lack of consistent recommendations to guide the prenatal and the postnatal management of cases with in-utero diagnosis of ovarian torsion. A “wait-and-see” policy is usually preferred, as in our case.

Key words

benign disease of ovarian fallopian tubes - case report - ultrasound - perinatal diagnosis - fetal ovarian torsion


Publication History

Received: 04 October 2022

Accepted: 18 October 2022

Article published online:
16 November 2022

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