Document Detail


The association of large ovarian cysts with cloacal exstrophy.
MedLine Citation:
PMID:  9607477     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/PURPOSE: Cloacal exstrophy can now be managed with excellent survival rates and reasonable long-term outcomes with many of these patients living into their late teens and early adulthood. In this report, the authors describe for the first time the association of large ovarian cysts with cloacal exstrophy. METHODS: From 1974 to 1996, 12 patients with cloacal exstrophy have been treated at C.S. Mott Children's Hospital. Massive ovarian cysts developed in four of these. These patients represent the subjects of this study. RESULTS: All four patients have been followed up beyond puberty and massive ovarian cysts have developed, which have caused significant morbidity. Three patients have required surgical intervention. All the patients had reached menarche before the development of the cysts. In all cases, the presentation was severe pelvic pain. Urinary tract obstruction from the large pelvic cysts developed in three of the four. The cysts were bilateral in three of four patients and measured 8 to 10 cm in diameter on ultrasound scan or computed tomography (CT). Cyst aspiration was attempted in two cases and was unsuccessful. Three of the four patients have required bilateral salpingo-oophorectomy. The indications for surgery were uncontrollable pelvic pain in one and urinary obstruction and uncontrollable pelvic pain in two. Surgical findings demonstrated massive thin-walled cysts with essentially no normal ovarian tissue in association with duplicated mullerian structures. The pathology findings were corpus luteal cyst in two and mucinous cystadenoma in one. The fourth patient with an 8- x 10-cm unilateral cyst is being followed up. CONCLUSIONS: The authors have described, for the first time, the association of massive ovarian cysts with cloacal exstrophy. These cysts can lead to severe pelvic pain and urinary tract obstruction. Bilateral oophorectomy has been required in most of these patients.
Authors:
J D Geiger; A G Coran
Related Documents :
7656757 - Diagnostic value of gonadal steroid hormones and gonadotropins in ovarian cystic lesions.
24222877 - Malignant mesothelioma after household exposure to asbestos.
18417847 - Primary bilateral tubal adenocarcinoma associated with uterine leiomyomas.
24576447 - Tru-cut needle pleural biopsy and cytology as the initial procedure in the evaluation o...
16196527 - Inflammatory sarcomatoid carcinoma: a case report and discussion of a malignant tumor w...
20877037 - Naevus depiomentosus treated with suction blister grafting.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  33     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  719-21     Citation Subset:  IM    
Affiliation:
Section of Pediatric Surgery, University of Michigan Medical School, Ann Arbor, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Cloaca / abnormalities*,  surgery
Female
Follow-Up Studies
Humans
Incidence
Infant, Newborn
Ovarian Cysts / diagnosis,  epidemiology*,  etiology*,  surgery
Prognosis
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The pathological evaluation of the pediatric inguinal hernia sac.
Next Document:  Congenital aural sinuses: clinical study and application of microsurgery.