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Symptomatic Persistent Fetal Ovarian Cysts

Ellie Souganidis1, Aaron Chen2, Eron Friedlaender2

  • 1From the Texas Children's Hospital, Houston, TX.

Pediatric Emergency Care
|August 16, 2020
PubMed

Insights

Symptomatic complex ovarian cysts can cause vomiting in infant females, a common pediatric emergency presentation. These cases highlight the importance of considering ovarian pathology in the differential diagnosis for infant vomiting.

Area of Science:

  • Pediatric Emergency Medicine
  • Pediatric Surgery
  • Pediatric Radiology

Background:

  • Vomiting is a frequent reason for pediatric emergency department visits in young infants.
  • The differential diagnosis for infant vomiting is extensive, requiring careful evaluation.
  • Ovarian pathology, specifically complex ovarian cysts, can present as a cause of vomiting in this age group.

Purpose of the Study:

  • To present two cases of infant females with symptomatic complex ovarian cysts presenting with vomiting.
  • To review key imaging findings associated with complex ovarian cysts in infants.
  • To discuss management strategies and expand the differential diagnosis of vomiting in young female infants.

Main Methods:

  • Case report presentation of two distinct cases of infant females.
  • Review of clinical presentation, diagnostic imaging (ultrasound), and management decisions.
  • Discussion of pertinent literature regarding ovarian cysts in infants.

Main Results:

  • Case 1: Infant with a prenatally diagnosed ovarian cyst managed with serial ultrasounds.
  • Case 2: Infant with a large complex ovarian cyst diagnosed after reportedly normal prenatal ultrasounds.
  • Both cases illustrate symptomatic complex ovarian cysts as a cause of vomiting in infants.

Conclusions:

  • Complex ovarian cysts should be considered in the differential diagnosis of vomiting in young female infants.
  • Appropriate imaging is crucial for diagnosis and management planning.
  • Early recognition and intervention can lead to favorable outcomes.

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