The Role of Surgery in Antenatal Ovarian Torsion: Retrospective Evaluation of 28 Cases and Review of the Literature

Basit Öğe Kaydı
dc.authorscopusid57280014000
dc.authorscopusid35236739700
dc.authorscopusid6701613383
dc.authorscopusid6603762840
dc.authorscopusid57196590497
dc.contributor.authorKurtmen, Bade Toker
dc.contributor.authorDivarci, Emre
dc.contributor.authorErgun, Orkan
dc.contributor.authorOzok, Geylani
dc.contributor.authorCelik, Ahmet
dc.date.accessioned2023-01-12T19:55:27Z
dc.date.available2023-01-12T19:55:27Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractStudy Objective: Antenatal ovarian torsion (AOT) is rare and requires differentiating from other congenital cystic masses of the abdomen and pelvis in neonates. In this study, it was aimed to evaluate the prenatal characteristics and postnatal outcomes of AOT. Design, Setting, Participants, Interventions, and Main Outcome Measures: Hospital records of patients (n = 28) with diagnosis of AOT between 2004 and 2020 were reviewed and their prenatal characteristics, postnatal examination, imaging, operative, and histopathological findings were evaluated. Results: There were 28 patients during the study period. In most of the patients (25/28; 89.3%) AOTs were detected prenatally. All were term babies with a mean birth weight of 3010 +/- 466.6 g. Mean maternal age was 25.75 +/- 3.65 years. Prenatal history was event-free in all and none had additional anomalies. Physical examination revealed mobile intra-abdominal cystic lesions in 16 (57.1%) patients. AOTs mimicked other pathologies as intestinal duplication cyst or mesenteric cyst (n = 7), complex ovarian cyst (n = 3), mature cystic teratoma (n = 3), simple renal cyst (n = 1), and ectopic kidney (n = 1) in 15 (53.6%) patients in postnatal ultrasonography. Elective laparoscopic surgery was performed in 26 (92.8%) patients. The other 2 patients required emergency open surgery because of acute symptoms. Ovaries were autoamputated in 17 (60.7%) patients. Histopathological examination revealed necrosis and dystrophic calcification in all specimens. There was neoplastic involvement in 2 patients (serous cystadenoma and gonadoblastoma). No complication occurred in the early followup period (mean: 73.9 +/- 46.8 months). Conclusion: AOTs can be detected easily during the antenatal period. Neoplastic involvement with AOTs is rare but possible. Although AOTs might mimic other cystic pathologies, it should be one of the first diagnoses to be considered, in the presence of a palpable intraabdominal mass and complex cystic lesion in infant girls. It can be efficiently and safely managed using minimally invasive techniques.en_US
dc.identifier.doi10.1016/j.jpag.2021.08.007
dc.identifier.endpage22en_US
dc.identifier.issn1083-3188
dc.identifier.issn1873-4332
dc.identifier.issue1en_US
dc.identifier.pmid34454073en_US
dc.identifier.scopus2-s2.0-85116058869en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage18en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpag.2021.08.007
dc.identifier.urihttps://hdl.handle.net/11454/76687
dc.identifier.volume35en_US
dc.identifier.wosWOS:000745792100004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Pediatric and Adolescent Gynecologyen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFetal ovarian cysten_US
dc.subjectAntenatal ovarian torsionen_US
dc.subjectAdnexal torsionen_US
dc.subjectAutoamputationen_US
dc.subjectPrenatal-Diagnosisen_US
dc.subjectCystsen_US
dc.subjectManagementen_US
dc.subjectNewbornen_US
dc.subjectAccuracyen_US
dc.subjectAdnexaen_US
dc.subjectMassesen_US
dc.titleThe Role of Surgery in Antenatal Ovarian Torsion: Retrospective Evaluation of 28 Cases and Review of the Literatureen_US
dc.typeReviewen_US

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