Auto-amputated ovary- rare cause of intestinal obstruction in a neonate: A case report
DOI:
https://doi.org/10.52783/jns.v10.960Keywords:
Neonate, Intestinal obstruction, Dermoid cyst, Ovary, Ovarian cystAbstract
Background: Congenital ovarian cysts rarely auto amputate. An unusual complication of this event is secondary intestinal obstruction. The mechanism may be consequent to a direct pressure effect or to adhesions induced by the cyst.
Case Presentation: A neonate presented with an abdominal mass and intestinal obstruction. On exploration, she had a mass hanging over the small intestine and one ovary was absent. Mass was excised and it turned out to be an auto-amputated ovary
Conclusion: Although it is a rare pathology in neonates, surgeons must suspect it, particularly if an ovary is absent.
Downloads
Metrics
References
Acar DB, Bas EK, Bulbul A, Demir M, Uslu S. A case report: Neonatal torsion ovarian cyst. Sisli Etfal Hastan Tip Bul. 2019; 53:430-2.
Bascietto F, Liberati M, Marrone L, Khalil A, Pagani G, Gustapane S, et al. Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: Systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2017; 50:20-31.
Jeanty C, Frayer EA, Page R, Langenburg S. Neonatal ovarian torsion complicated by intestinal obstruction and perforation, and review of the literature. J Pediatr Surg. 2010; 45:e5-9.
Focseneanu MA, Omurtag K, Ratts VS, Merritt DF. The auto-amputated adnexa: A review of findings in a pediatric population. J Pediatr Adolesc Gynecol. 2013; 26:305-13.
Liaqat N, Dar SH, Sandhu A, Iqbal N, Ahmed E, Nayyar SI. Auto-amputated ovary presenting as abdominal mass in an infant. J Coll Physicians Surg Pak. 2017; 27:727-9.
Mirza B. Auto-amputated ovarian cyst with compression sequelae: A case report. J Neonatal Surg. 2012; 1:54.
Chinchure D, Ong CL, Loh AH, Rajadurai VS. Neonatal ovarian cysts: Role of sonography in diagnosing torsion. Ann Acad Med Singapore. 2011; 40:291-5.
Ladenhauf HN, Brandtner MG, Ardelean MA, Schimke C, Metzger R. Laparoscopic management of autoamputated ovary in newborns: A report of 2 cases. J Minim Invasive Gynecol. 2017; 24:859-62.
Rialon KL, Akinkuotu A, Fahy AS, Shelmerdine S, Traubici J, Chiu P. Management of ovarian lesions diagnosed during infancy. J Pediatr Surg. 2019; 54:955-8.
Trotman GE, Zamora M, Gomez-Lobo V. Non-surgical management of the auto-amputated adnexa in the neonate: A report on two cases. J Pediatr Adolesc Gynecol. 2014; 27:107-10.

Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Naeem Liaqat, Dr. Imran, Anies Mahomed

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.