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Giant Ovarian Serous Cystadenoma in an Infant: Report of a Rare Case
Medhavi Vimal1, Priti Chatterjee1, Anita Nangia1
1Department of Pathology, Lady Hardinge Medical College, Delhi, India.
Insights
Giant neonatal ovarian serous cystadenoma, a rare condition, was successfully treated with laparoscopic cystectomy. This case highlights the importance of prompt diagnosis and surgical intervention for large abdominal cysts in newborns.
Area of Science:
- Pediatric Surgery
- Gynecologic Oncology
- Neonatal Medicine
Background:
- Abdominal cysts in infants occur in 1 in 500 to 1,000 live births.
- Ovarian serous cystadenoma is exceptionally rare in neonates, with limited documented cases.
Purpose of the Study:
- To report a rare case of a giant neonatal ovarian serous cystadenoma.
- To describe the successful laparoscopic management and histopathological confirmation of this condition.
Main Methods:
- Antenatal ultrasonography (USG) and postnatal USG were used for initial detection.
- Contrast-enhanced computed tomography (CT) scan provided detailed abdominal imaging.
- Laparoscopic cystectomy was performed for diagnosis and treatment.
- Histopathological examination confirmed the diagnosis.
Main Results:
- A giant ovarian cyst (10×8×6.5 cm) filled with 500 mL of fluid was identified in a neonate.
- Laparoscopic cystectomy was successfully performed, with the left ovary not visualized separately.
- Histopathology confirmed the cyst as a serous cystadenoma of the ovary.
Conclusions:
- Giant neonatal ovarian serous cystadenoma is a rare but treatable condition.
- Laparoscopic cystectomy is a viable surgical approach for these cases.
- Further literature on pathological diagnosis is needed for such rare presentations.
Abstract:
The incidence of abdominal cysts in infants is 1 in 500 to 1 in 1,000 live births. Among the ovarian cysts in infants, serous cystadenoma is extremely rare with only few reported cases in the literature. Here, we report a case of a giant neonatal ovarian serous cystadenoma treated with laparoscopic cystectomy and confirmed by histopathological examination. A 27-year-old delivered a female baby with uneventful caesarean section at full term. The antenatal ultrasonography (USG) in third trimester had showed an abdominal cyst in the left side of the abdomen. Postnatal USG was suggestive of omental cyst. A contrast-enhanced computed tomography scan of the neonate showed a large cyst occupying the entire abdomen. On laparoscopic evaluation, a cystic mass filled with 500 mL of clear yellow fluid was seen in the left pelvic fossa. Left ovary could not be visualized separately. The right ovary, fallopian tubes, and uterus were normal. The entire cyst was removed and sent for histopathological examination. On gross examination, a unilocular cyst measuring 10×8×6.5 cm with a wall thickness of 0.2 cm was noted. On microscopic examination, the histomorphological features were consistent with serous cystadenoma of the ovary. There is a paucity of literature regarding pathological diagnosis of such cases and hence we report one such case.
