| 摘要 |
The case numbers of neonatal ovarian cyst are increasing in diagnosis with routine use of ultrasound in prenatal monitoring. This is considered to be a self-limiting disease. The necessity of surgical intervention is either for a complication or for treatment of complicated cysts. A complicated cyst is cystic with a fluid-debris level, retracting clot, septating with or without internal echoes or solid. A simple cyst is completely anecheoic, and the cyst wall is completely imperceptible with sonography. For simple cysts, expectant follow-up for spontaneous resolution is adequate. For a larger simple cyst, sonography-guided aspiration is desirable. Surgery is indicated for every complex cyst to rule out true neoplasms. Here a case of an enlarging neonatal ovarian cyst, containing septum and internal debris is presented. A minilaparotomy for ovarian cystectomy was performed. Better cosmetic results, earlier postoperative feeding, shorter hospital stay and less intraperitoneal adhesion made this new technique a promising treatment modality for neonatal ovarian cystectomy in selected cases. |
