CASE REPORT: CONGENITAL OVARIAN CYST SURGICALLY APPROACHED IN THE NEONATAL PERIOD WITH FAVORABLE EVOLUTION (Atena Editora)

Abstract

Introduction: Fetal ovarian cysts are the second most common type of abdominal mass, after the urinary tract mass. In most cases, they are small, unilateral, benign, asymptomatic, diagnosed in the third trimester and regress spontaneously. Case report: A.G.B, born weighing 4280g, daughter of a morbidly obese and chronically hypertensive mother, with an ultrasound diagnosis of a maternal cyst during pregnancy. After birth, significant abdominal distension was observed, with visceromegaly and hepatosplenomegaly, with collateral circulation and congestion. During preoperative examinations, distention of the intestinal loops to the left and a voluminous intra-abdominal cystic image were observed, which had a mass effect, displacing adjacent structures, without exact location. At 6 days of age, she underwent oophoroplasty, which showed the presence of a congenital ovarian cyst, and the cyst was evacuated and removed, measuring 13.0x11.5x4.0 cm, and anatomopathological evidence showing the benignity of the condition. Discussion: Pregnancy presented several maternal risk factors for the presence of congenital ovarian cysts that, although they regress spontaneously during pregnancy or in the first months, surgical approach was necessary due to the mass effect exerted, with possible ovarian preservation. The importance of early recognition of this possible diagnosis as well as the possible consequences is highlighted.