PMC8556747_01
prenatally diagnosed abdominal cystic lesion, measuring 58x57x54mm in US examination
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F1
During the 34th week of gestation she was prenatally diagnosed with an abdominal cystic lesion measuring 58x57x54mm in US examination (Figure 1).
postnatal US examination, during the first day of life, revealing the prenatally diagnosed cystic lesion, measuring 50x30x43mm and based at the left lower abdomen, with no signs of vascularization, characterized by septations with internal echoes and a fluid-debris level
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F2
Diagnostic assessment: the neonate had a new US exam during her first day of life, which revealed the above mentioned cystic lesion, measuring 50x30x43mm and based at the left lower abdomen, with no signs of vascularization (Figure 2).
direct visualization via laparoscopic approach revealed a spherical mass, freely floating inside the peritoneal cavity, with an attachment to a small portion of the distal part of the omentum
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F3
Laparoscopy revealed a spherical floating mass inside the peritoneal cavity, with an attachment to a small portion of the distal part of the omentum (Figure 3).
cystic lesion was recognized intra-operatively as the auto amputated right ovary, accompanied with the distal part of fallopian tube; it was punctured with a needle inserted through the abdominal wall, draining a brownish liquid
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F4
The cystic lesion was punctured with a needle inserted through the abdominal wall (Figure 4), via direct visualization, draining a brownish liquid.
pathology department received a macroscopically cystic specimen measuring 4.8cm in its maximum diameter
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F5
Follow up and outcomes: histopathology revealed a macroscopically cystic lesion with a maximum diameter of 4.8cm (Figure 5).
light microscopy of hematoxylin and eosin-stained specimen in a 40x magnification revealed an outer layer of fibrous tissue, lined with flattened cells. Hemorrhagic elements and also stretched and congested vessels were noted in a diffuse pattern
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F6
Hemorrhagic elements and also stretched and congested vessels were noted in a diffuse pattern (Figure 6).