Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 000, Number 000, October 2025, pages 000-000


Fetal Ovarian Cysts in Prenatal Imaging: Diagnostic Challenges and Management Options

Figure

Figure 1.
Figure 1. Simple thin-walled cystic formation localized separately from kidney seen in 27th week of gestation.

Table

Table 1. Differential Diagnosis of Fetal Abdominal Cysts
 
TypeSonographic features
Choledochal cystLocalized in the right upper quadrant behind the portal vein, connected with the bile ducts and gallbladder; increase in size with increasing gestational age [17]
Intestinal duplication cystRound/oval shaped mass, closely associated with the intestinal tract; possible compression of the adjacent intestine resulting in intestinal obstruction and polyhydramnios [17]
Duodenal atresia“Double-bubble sign” [18]
Mesenteric cystTypically anechoic, thin-walled, possible internal septi, movable with peristalsis [19]
Urachal cystAnechoic cyst at the base of umbilical cord, connected to urinary bladder, surrounded by umbilical arteries [20]
Abdominal lymphangiomaMultiseptated, multicystic irregular mass with rapid grow; association with other abnormalities - skin edema, hydrops fetalis, polyhydramnios [21]
HydrometrocolposМidline, cystic, pear-shaped pelvic mass, often located posterior to the bladder; bilateral hydronephrosis may also be present due to urinary tract obstruction [22]