Nadir Komplikasyonlarla Giden Dört Yenidoğan Kompleks Over Kisti Olguları

Öz

Ultrasonun sık kullanımıyla fetal ve neonatal dönemde yenidoğan over kistleri daha sık saptanmaktadır. Bu yazıda; nadir komplikasyonlarla giden antenatal tanılı over kisti olguları sunulmuştur. Birinci olguda, otoampute over kisti saptanmış ve takibinde spontan kaybomuştur. İkinci ve üçüncü olguya cerrahi tedavi uygulanmıştır. Histopatolojik sonucu otoampute hemorajik nekrotik torsiyone tuba ovaryan kist olarak raporlanmıştır. Dördüncü olguda da, postnatal dönemde antenatal over kisti rüptürüne bağlı abdominal asit saptanmıştır. Pediatrist ve çocuk cerrahları için yenidoğan over kistlerinin tedavi yaklaşımı halen tartışmalıdır. Hangi hastada cerrahi, hangi hastada konservatif tedavi yaklaşımı yapılacağı belirlenmelidir

Anahtar Kelimeler

• Otoamputasyon,kompleks over kisti,yenidoğan

Four Neonatal Complex Ovarian Cyst Cases with Uncommon Complications

Öz

With the wide common use of ultrasound, ovarian cysts of the fetus and neonate are more often detected. A case series of four infant with uncommon complications of antenatal ovarian cysts were presented. In the first case; autoamputated ovarian tissue was determined and disappeared during the follow up. The second and third case went under surgery. Histopathological results were reported as a torsional autoamputated hemorrhagic necrotic tuba-ovarian cyst. Abdominal ascites was determined postnatally due to rupture of neonatal ovarian cyst in the fourth case. The treatment approaches for ovarian cysts poses a therapeutic dilemma for the pediatrician and the pediatric surgeon. It has to be decided which patient should be referred for surgical therapy and which might be treated conservatively

Anahtar Kelimeler

• Autoamputation, complex ovarian cyst, neonate

Kaynakça

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