Conservative management of antenatally diagnosed ovarian cyst

Abstract

Ovarian cysts are the most common intra-abdominal masses in female fetuses. Their prenatal diagnosis is becoming easier, but their management is still not unanimous. This work describes three clinical cases of fetal ovarian cysts diagnosed antenatally at Farhat Hached University Hospital in Sousse between 2012 and 2017. Because of the possibility of spontaneous regression of uncomplicated ovarian cysts of antenatal discovery, we opted for a conservative therapeutic approach based on iterative ultrasound-guided puncture in the newborns with clinical monitoring and imaging. The goal is to avoid surgical complications and to preserve as much healthy ovarian parenchyma as possible.