Journal of Pediatric and Adolescent Gynecology
Volume 22, Issue 3 , Pages 163-167, June 2009

Hemorrhagic Corpus Luteum Cysts: An Unusual Problem for Pediatric Surgeons

  • C. Spinelli, MD

      Affiliations

    • Chair of Pediatric Surgery, Department of Surgery, University of Pisa, Pisa, Italy
    • Corresponding Author InformationAddress correspondence to: Prof. Claudio Spinelli, MD, Chair of Pediatric Surgery, Department of Surgery of the University of Pisa, Via Roma 67, 56126 Pisa, Italy
    • ,
  • M. Di Giacomo, MD

      Affiliations

    • Chair of Pediatric Surgery, Department of Surgery, University of Pisa, Pisa, Italy
    • ,
  • N. Mucci, MD

      Affiliations

    • Chair of Pediatric Surgery, Department of Surgery, University of Pisa, Pisa, Italy
    • ,
  • F. Massart, MD, PhD

      Affiliations

    • Pediatric Endocrine Center, Department of Pediatrics, University of Pisa, Pisa, Italy

published online 09 April 2009.

Abstract 

Study Objective

Hemorrhagic corpus luteum cysts (HCLC) constitute a common disorder in pediatric subjects undergoing surgical intervention. HCLCs especially develop in the early period after menarche, and they are commonly associated with dysfunctional ovulation.

Design

Retrospective analysis of surgery outcome of HCLC patients.

Setting

Pediatric Surgery Unit, S. Chiara University Hospital.

Participant

13 girls with HCLC diagnosis.

Interventions

Surgical treatment of HCLCs.

Main Outcome Measures

We reviewed the clinical presentation and outcome of 13 post-menarcheal girls surgically treated for HCLCs in the Pediatric Surgical Unit from 2002 to 2006.

Results

Primary presentation was persistent abdominal pain in 84.6% and acute abdominal pain in 15.4% of patients, respectively. Ultrasound examination showed complex ovarian masses in 77.23% cases and simple ovarian masses in 33.7% cases, respectively. Although laparoscopic excision of HCLC was performed in more than 45% cases, laparotomic approach was commonly required. After conservative surgery, ovarian size and viability were normal, as assessed by 6-month ultrasound scan. No recurrences of disease and regular menses were reported at 2 years follow-up.

Conclusions

In pediatric subjects with HCLC that required surgical intervention, no complications or disorder recurrence were reported. In order to preserve ovarian function, conservative surgery has to be performed whenever feasible.

Key Words: Hemorrhagic corpus luteum cysts, Ovarian surgery, Tumor markers, Pediatric gynecology, Pediatric surgery

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PII: S1083-3188(08)00238-6

doi:10.1016/j.jpag.2008.07.013

Journal of Pediatric and Adolescent Gynecology
Volume 22, Issue 3 , Pages 163-167, June 2009

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