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Neonatal follicular ovarian hemorrhagic cyst

Journal of Perinatology volume 27, pages 805–807 (2007)Cite this article

Laparotomy revealed right adnexal torsion, an infarcted right fallopian tube and ovary, and a large hemorrhagic ovarian cyst.

Ovarian cysts occurring in fetuses and newborn girls are of four different types:1 (a) benign cysts of graafian epithelial origin. These are the most common comprising 97% of fetal–neonatal ovarian cysts2 and including simple cysts, corpus luteal cysts and cystadenomas, (b) granulosa cell tumors, (c) benign cystic teratoma and (d) mesonephroma. Ovarian graafian follicles begin to appear at the fourth month of gestation life and increase in size and number after that. The etiology of simple ovarian cyst in the neonate is not certain. However, it presumably represents disordered folliculogenesis, perhaps complicated by abnormal hormonal levels, especially excessive human chorionic gonadotropin.1, 3 An association between elevated levels of human chorionic gonadotropin and slightly increased incidence of ovarian cysts has been reported in infants of diabetic mothers.

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  1. Department of Radiology, St Louis Children's Hospital,.Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA

    T E Herman & M J Siegel

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  1. T E Herman
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  2. M J Siegel
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Correspondence to T E Herman.

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Herman, T., Siegel, M. Neonatal follicular ovarian hemorrhagic cyst. J Perinatol 27, 805–807 (2007). https://doi.org/10.1038/sj.jp.7211858

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