Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://jmc.elmerpub.com

Case Report

Volume 16, Number 10, October 2025, pages 415-420


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

Figure

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

Table

↓  Table 1. Differential Diagnosis of Fetal Abdominal Cysts
 
Type Sonographic features
Choledochal cyst Localized 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 cyst Round/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 cyst Typically anechoic, thin-walled, possible internal septi, movable with peristalsis [19]
Urachal cyst Anechoic cyst at the base of umbilical cord, connected to urinary bladder, surrounded by umbilical arteries [20]
Abdominal lymphangioma Multiseptated, multicystic irregular mass with rapid grow; association with other abnormalities - skin edema, hydrops fetalis, polyhydramnios [21]
Hydrometrocolpos Мidline, cystic, pear-shaped pelvic mass, often located posterior to the bladder; bilateral hydronephrosis may also be present due to urinary tract obstruction [22]