Strangulated ileus due to an ovarian cyst in a neonate
The patient was a 1-day-old female neonate. A cystic lesion had been found underneath the fetal stomach, and magnetic resonance imaging revealed a 50-mm cyst in the left ovary. The infant was delivered spontaneously at 39 weeks 3 days. Postnatal abdominal ultrasonography showed debris in the cyst. T...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-08-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576620301652 |
| _version_ | 1818693531371307008 |
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| author | Seisho Sakai Kozo Nomura Mizuho Tomida Kentaro Hayashi Takashi Tsutsuno Honami Mizushima Yusuke Mitani |
| author_facet | Seisho Sakai Kozo Nomura Mizuho Tomida Kentaro Hayashi Takashi Tsutsuno Honami Mizushima Yusuke Mitani |
| author_sort | Seisho Sakai |
| collection | DOAJ |
| description | The patient was a 1-day-old female neonate. A cystic lesion had been found underneath the fetal stomach, and magnetic resonance imaging revealed a 50-mm cyst in the left ovary. The infant was delivered spontaneously at 39 weeks 3 days. Postnatal abdominal ultrasonography showed debris in the cyst. The neonate vomited a large amount of bile 32 h after birth, and emergency surgery was performed. The cystic lesion, diagnosed as a necrotic ovarian cyst, was removed from the abdominal cavity. It was connected to a long cord that appeared to be the fallopian tube. The cord had caused a strangulated ileus due to compression of the mesentery. About 20 cm of the necrotic intestinal tract was resected along with the necrotic ovarian cyst. A cyst containing debris is considered complex, and complex cysts are associated with ovarian torsion. There is no consensus on a treatment strategy for addressing this situation in a neonate. Recently, there has been a trend toward observation without surgery, with the goal of preserving the ovary. However, we recommend early laparoscopic examination and surgical intervention for a complex cyst discovered around the time of birth. |
| first_indexed | 2024-12-17T13:15:10Z |
| format | Article |
| id | doaj.art-f371f10900a54eb59fa2c2f959dd2b69 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-17T13:15:10Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-f371f10900a54eb59fa2c2f959dd2b692022-12-21T21:47:01ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-08-0159101531Strangulated ileus due to an ovarian cyst in a neonateSeisho Sakai0Kozo Nomura1Mizuho Tomida2Kentaro Hayashi3Takashi Tsutsuno4Honami Mizushima5Yusuke Mitani6Department of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, Japan; Corresponding author. 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.Department of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, JapanDepartment of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, JapanDepartment of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, JapanDepartment of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, JapanDepartment of Pediatric Surgery, Kanazawa University Hospital, Kanazawa, Ishikawa, JapanDepartment of Pediatrics, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa, JapanThe patient was a 1-day-old female neonate. A cystic lesion had been found underneath the fetal stomach, and magnetic resonance imaging revealed a 50-mm cyst in the left ovary. The infant was delivered spontaneously at 39 weeks 3 days. Postnatal abdominal ultrasonography showed debris in the cyst. The neonate vomited a large amount of bile 32 h after birth, and emergency surgery was performed. The cystic lesion, diagnosed as a necrotic ovarian cyst, was removed from the abdominal cavity. It was connected to a long cord that appeared to be the fallopian tube. The cord had caused a strangulated ileus due to compression of the mesentery. About 20 cm of the necrotic intestinal tract was resected along with the necrotic ovarian cyst. A cyst containing debris is considered complex, and complex cysts are associated with ovarian torsion. There is no consensus on a treatment strategy for addressing this situation in a neonate. Recently, there has been a trend toward observation without surgery, with the goal of preserving the ovary. However, we recommend early laparoscopic examination and surgical intervention for a complex cyst discovered around the time of birth.http://www.sciencedirect.com/science/article/pii/S2213576620301652Strangulated ileusOvarian cystNeonate |
| spellingShingle | Seisho Sakai Kozo Nomura Mizuho Tomida Kentaro Hayashi Takashi Tsutsuno Honami Mizushima Yusuke Mitani Strangulated ileus due to an ovarian cyst in a neonate Journal of Pediatric Surgery Case Reports Strangulated ileus Ovarian cyst Neonate |
| title | Strangulated ileus due to an ovarian cyst in a neonate |
| title_full | Strangulated ileus due to an ovarian cyst in a neonate |
| title_fullStr | Strangulated ileus due to an ovarian cyst in a neonate |
| title_full_unstemmed | Strangulated ileus due to an ovarian cyst in a neonate |
| title_short | Strangulated ileus due to an ovarian cyst in a neonate |
| title_sort | strangulated ileus due to an ovarian cyst in a neonate |
| topic | Strangulated ileus Ovarian cyst Neonate |
| url | http://www.sciencedirect.com/science/article/pii/S2213576620301652 |
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