Non-surgical management of the auto-amputated adnexa in the neonate: a report on two cases

J Pediatr Adolesc Gynecol. 2014 Apr;27(2):107-10. doi: 10.1016/j.jpag.2013.06.019. Epub 2013 Sep 26.

Abstract

Background: Prenatal ovarian torsion is a rare but significant gynecologic abnormality. Current literature has yet to establish standard management in the case of auto-amputated adnexa secondary to ovarian torsion in the neonate.

Cases: We report 2 cases of abdominal masses that were diagnosed in the antenatal period and were clinically consistent with auto-amputated adnexa followed with serial ultrasonography until resolution.

Summary and conclusion: To our knowledge this is the first report in the literature to document resolution of 2 pelvic masses due to auto-amputated adnexa with expectant management. This suggests expectant management is an appropriate alternative to surgical management in carefully selected cases.

Keywords: antenatal ovarian torsion; autoamputation; neonatal ovarian cysts; neonatal pelvic mass.

Publication types

  • Case Reports

MeSH terms

  • Adnexal Diseases / diagnostic imaging
  • Adnexal Diseases / etiology
  • Adnexal Diseases / therapy*
  • Female
  • Fetal Diseases / diagnostic imaging
  • Humans
  • Infant, Newborn
  • Ovarian Diseases / complications*
  • Ovarian Diseases / diagnostic imaging
  • Torsion Abnormality / complications*
  • Torsion Abnormality / diagnostic imaging
  • Ultrasonography, Prenatal
  • Watchful Waiting*