Abstract A 3800-g female infant was born at term to a diabetic gravida 1, para 0 mother. Findings of physical examination included a round, well-circumscribed, 8X10-cm, freely movable right-midabdominal mass and marked edema of the labia majora. Results of the physical examination were otherwise unremarkable. The infant had no signs of intestinal obstruction and passed normal meconium stools. A plain abdominal roentgenogram (Fig 1) was obtained, and an ultrasonographic scan of the abdomen was performed (Fig 2). Laboratory studies disclosed the following values: α-fetoprotein, 70270 μg/L (70270 ng/mL) (normal cord blood, up to 100 X103 μg/L [100 X103 ng/mL]); hemoglobin, 147 g/L (14.7 g/dL); serum creatinine, 110 μmol/L (1.2 mg/dL); and β-human chorionic gonadotropin, 580 IU/L (58 IU/dL) at 24 hours of age (normal, <50 IU/L [<5 IU/dL]). Figure 1. Figure 2. The Editors welcome contributions to PICTURE OF THE MONTH and RADIOLOGICAL CASE OF THE MONTH. Those who References 1. Tsuchida Y, Endo Y, Saito S, et al: Evaluation of alpha-fetoprotein in early infancy . J Pediatr Surg 1978;13:155-156.Crossref 2. Ahmed S: Neonatal and childhood ovarian cysts . J Pediatr Surg 1971;6:702-708.Crossref 3. Scholz PM, Key L, Filston HC: Large ovarian cyst causing local perforation in a newborn infant . J Pediatr Surg 1982;17:91-92.Crossref 4. Kirkinen P, Jouppila P: Perinatal aspects of pregnancy complicated by fetal ovarian cyst . J Perinat Med 1985;13:245-251.Crossref 5. Ott WJ: Acute polyhydramnios and a fetal ovarian cyst . J Reprod Med 1985;30:887-889. 6. Avni EF, Godarts, Israel C, et al: Ovarian torsion cyst presenting as a wandering tumor in a newborn: Antenatal diagnosis and post natal assessment . Pediatr Radiol 1983;13:169-171.Crossref 7. Barbieri RL, Saltzman D, Phillippe M, et al: Elevated β-human chorionic gonadotropin and testosterone in cord serum of male infants of diabetic mothers . J Clin Endocrinol Metab 1985; 61:976-979.Crossref 8. Montag TW, Auletta FJ, Gibson M: Neonatal ovarian cyst: Prenatal diagnosis and analysis of cyst fluid . Obstet Gynecol 1983;61:38S-41S. 9. Sedin G, Bergquist C, Lindgren PG: Ovarian hyperstimulation syndrome in preterm infants . Pediatr Res 1985;19:548-552.Crossref
American Journal of Diseases of Children – American Medical Association
Published: Sep 1, 1987
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