Gylynthia E Trotman1, Melodie Zamora2, Veronica Gomez-Lobo3. 1. Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Georgetown University Hospital/Children's National Medical Center, Washington, DC. Electronic address: Gylynthia.E.Trotman@medstar.net. 2. Georgetown University School of Medicine, Washington, DC. 3. Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Georgetown University Hospital/Children's National Medical Center, Washington, DC.
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.
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.