Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature
Fetal adnexal cysts present unique challenges during pregnancy, requiring careful management strategies to mitigate risks throughout gestation and delivery. We present the case of a 35-year-old G4P2 patient, referred to our center for a large adnexal cyst confirmed by ultrasound (US) and fetal MRI,...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2025-04-01
|
| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2562-1898 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850232151504584704 |
|---|---|
| author | Giulia Bonanni Scott A. Shainker Eyal Krispin Ryne A. Didier Terry L. Buchmiller Alireza A. Shamshirsaz |
| author_facet | Giulia Bonanni Scott A. Shainker Eyal Krispin Ryne A. Didier Terry L. Buchmiller Alireza A. Shamshirsaz |
| author_sort | Giulia Bonanni |
| collection | DOAJ |
| description | Fetal adnexal cysts present unique challenges during pregnancy, requiring careful management strategies to mitigate risks throughout gestation and delivery. We present the case of a 35-year-old G4P2 patient, referred to our center for a large adnexal cyst confirmed by ultrasound (US) and fetal MRI, with a calculated volume of 210 mL. Given the cyst's size and the family's strong preference for vaginal delivery (VD), US-guided aspiration was performed at 356/7 weeks, followed by an uncomplicated spontaneous VD at 372/7 weeks. Two weeks postpartum, the ovarian cyst re-accumulated, requiring laparoscopic-assisted cystectomy in a torsed but viable left ovary. This case demonstrates the importance of individualized prenatal care, where clinical decisions balance parental preferences with medical risks. Maximizing the opportunity for vaginal birth was a top priority for the family, and the successful reduction of the cyst's size through percutaneous aspiration minimized the risk of abdominal dystocia and allowed for a safe VD. We review relevant literature, emphasizing the need for further research to refine fetal intervention criteria and improve outcomes for such cases. |
| format | Article |
| id | doaj-art-9d4dcada5cdf438b9f4bbe1b44192765 |
| institution | OA Journals |
| issn | 2157-6998 2157-7005 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj-art-9d4dcada5cdf438b9f4bbe1b441927652025-08-20T02:03:16ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052025-04-011502e58e6110.1055/a-2562-1898Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the LiteratureGiulia Bonanni0https://orcid.org/0000-0003-3044-238XScott A. Shainker1https://orcid.org/0000-0002-6062-6772Eyal Krispin2Ryne A. Didier3Terry L. Buchmiller4Alireza A. Shamshirsaz5Division of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MassachusettsDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MassachusettsDivision of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MassachusettsDivision of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MassachusettsDepartment of Surgery, Boston Children's Hospital, Boston, MassachusettsDivision of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, MassachusettsFetal adnexal cysts present unique challenges during pregnancy, requiring careful management strategies to mitigate risks throughout gestation and delivery. We present the case of a 35-year-old G4P2 patient, referred to our center for a large adnexal cyst confirmed by ultrasound (US) and fetal MRI, with a calculated volume of 210 mL. Given the cyst's size and the family's strong preference for vaginal delivery (VD), US-guided aspiration was performed at 356/7 weeks, followed by an uncomplicated spontaneous VD at 372/7 weeks. Two weeks postpartum, the ovarian cyst re-accumulated, requiring laparoscopic-assisted cystectomy in a torsed but viable left ovary. This case demonstrates the importance of individualized prenatal care, where clinical decisions balance parental preferences with medical risks. Maximizing the opportunity for vaginal birth was a top priority for the family, and the successful reduction of the cyst's size through percutaneous aspiration minimized the risk of abdominal dystocia and allowed for a safe VD. We review relevant literature, emphasizing the need for further research to refine fetal intervention criteria and improve outcomes for such cases.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2562-1898fetal adnexal cystultrasound-guided aspirationfetal interventionindividualized prenatal careprenatal diagnosis |
| spellingShingle | Giulia Bonanni Scott A. Shainker Eyal Krispin Ryne A. Didier Terry L. Buchmiller Alireza A. Shamshirsaz Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature American Journal of Perinatology Reports fetal adnexal cyst ultrasound-guided aspiration fetal intervention individualized prenatal care prenatal diagnosis |
| title | Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature |
| title_full | Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature |
| title_fullStr | Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature |
| title_full_unstemmed | Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature |
| title_short | Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature |
| title_sort | prenatal aspiration of fetal ovarian cysts when to intervene a case report and review of the literature |
| topic | fetal adnexal cyst ultrasound-guided aspiration fetal intervention individualized prenatal care prenatal diagnosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2562-1898 |
| work_keys_str_mv | AT giuliabonanni prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature AT scottashainker prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature AT eyalkrispin prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature AT ryneadidier prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature AT terrylbuchmiller prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature AT alirezaashamshirsaz prenatalaspirationoffetalovariancystswhentointerveneacasereportandreviewoftheliterature |