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Vol. 59. Issue 1.
Pages 31-39 (January - February 2017)
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Vol. 59. Issue 1.
Pages 31-39 (January - February 2017)
Radiology through images
DOI: 10.1016/j.rxeng.2016.10.001
Neonatal ovarian cysts: Ultrasound assessment and differential diagnosis
Quistes de ovario neonatales. Valoración ecográfica y diagnóstico diferencial
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R. Llorens Salvador
Corresponding author
llorens_rob@gva.es

Corresponding author.
, C. Sangüesa Nebot, A. Pacheco Usmayo, S. Picó Aliaga, E. Garcés Iñigo
Área de Imagen Médica, Sección de Imagen Pediátrica, Hospital Universitario y Politécnico La Fe, Valencia, Spain
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Abstract

Ovarian cysts are the most common abdominal cysts in female fetuses and newborn girls. Ultrasonography is the imaging technique of choice for diagnosing ovarian cysts because it makes it possible to differentiate them from other cystic lesions. Although most neonatal ovarian cysts regress in the first few months after birth, complications can occur during gestation or after birth. The manifestations of ovarian cysts on ultrasonography will depend on the complications. The management is controversial, although the current trend favors watchful waiting.

We describe the different presentations of neonatal ovarian cysts with their complications and their patterns of findings on ultrasonography. We also discuss the differential diagnosis with other cystic abdominal lesions, and finally we discuss the therapeutic management of neonatal ovarian cysts.

Keywords:
Ovarian cyst
Ultrasonography
Newborn
Fetal
Resumen

Los quistes de ovario son los quistes abdominales más frecuentes en fetos y neonatos de sexo femenino. La ecografía es la técnica de imagen de elección para su diagnóstico, ya que permite además distinguirlos de otras lesiones quísticas. Aunque la mayoría de quistes de ovario neonatales (QON) involucionan en el transcurso de los primeros meses de vida, pueden presentar complicaciones durante el periodo fetal o posnatal. Las manifestaciones ecográficas de los QON van a estar en función de las mismas. El manejo es controvertido, con la tendencia actual de esperar y ver.

Describimos las diferentes formas de presentación de los QON con sus patrones ecográficos y complicaciones, su diagnóstico diferencial con otras lesiones abdominales quísticas y, finalmente, su manejo terapéutico.

Palabras clave:
Quiste de ovario
Ecografía
Recién nacida
Fetal

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