Abstract

Introduction: Abdominal cysts are uncommon in neonate during prenatal ultrasound. Only 5% is represented by ovarian cysts. Treatment options depend on the risk of complications. The aim of this study is to report the authors' experience and describe the most appropriate management in case of suspected ovarian cysts.
Materials and Methods: A retrospective analysis was carried out on all suspected ovarian cysts detected with prenatal ultrasound from January 2003 and December 2016. After birth all newborns underwent blood tests and ultrasound (US); cysts were classified into simple and complex. The authors described a conservative management or surgical treatment, depending on the signs and symptoms of the newborn, US cyst size and US cyst classification (simple vs complex).
Results: 98 patients with diagnosis of ovarian cyst were included in the study. US scan identified 73 simple cysts and 24 complex cysts. 31 patients underwent surgery. Twenty patients were treated with sparing surgery.
Discussion: In general, postnatal choice of treatment is depending on the size and appearance of the cyst. Complex cysts usually do not require urgent surgery because they generally represent the outcome of an antenatal ovarian torsion. Minimally invasive surgery is the gold standard for these patients.