Presentation
We present a 13-year-old girl who presented with a large abdominal mass which was subsequently diagnosed as juvenile follicular cyst of the ovary. [ncbi.nlm.nih.gov]
Anestrus is the presenting clinical sign. marine fish c's worldwide occurrence in fish of round nodules in fibrous capsules; the cause is unknown. mesenteric cyst congenital, thin-walled cyst between the leaves of the mesentery; may enlarge and cause [medical-dictionary.thefreedictionary.com]
Entire Body System
- Pain
Signs and symptoms [ edit ] Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz ) occurs in the middle of the menstrual cycle, during ovulation. [en.wikipedia.org]
Most girls with follicular cysts present with abdominal pain and will often report irregular menses as well [ 1 ]. [ncbi.nlm.nih.gov]
Clinical findings Usually asymptomatic; less commonly (in about 1/4 of cases), causes sharp unilateral pain (“mittelschmerz”) in the middle of the menstrual cycle, coinciding with ovulation. Diagnosis Ultrasonography. [medical-dictionary.thefreedictionary.com]
- Pallor
There was no pallor, icterus, oedema or lymph node enlargement. The abdomen was grossly distended. We palpated a large cystic non-tender mass arising from the pelvis and extending up to the epigastrium. [ncbi.nlm.nih.gov]
- Asymptomatic
Clinical findings Usually asymptomatic; less commonly (in about 1/4 of cases), causes sharp unilateral pain (“mittelschmerz”) in the middle of the menstrual cycle, coinciding with ovulation. Diagnosis Ultrasonography. [medical-dictionary.thefreedictionary.com]
- Severe Pain
Signs and symptoms [ edit ] Its rupture can create sharp, severe pain on the side of the ovary on which the cyst appears. This sharp pain (sometimes called mittelschmerz ) occurs in the middle of the menstrual cycle, during ovulation. [en.wikipedia.org]
- Swelling
Baker cyst a swelling on the back of the knee, due to escape of synovial fluid that has become enclosed in a sac of membrane. [medical-dictionary.thefreedictionary.com]
Respiratoric
- Dyspnea
[…] dysplasia syndrome in Siberian huskies; a late-appearing, symmetrical alopecia, affecting mostly the guard hairs. follicular pharyngitis chronic disease in young racing horses; of importance as a disruption of training; characterized by frequent cough, dyspnea [medical-dictionary.thefreedictionary.com]
Gastrointestinal
- Abdominal Pain
Most girls with follicular cysts present with abdominal pain and will often report irregular menses as well [ 1 ]. [ncbi.nlm.nih.gov]
Urogenital
- Cesarean Section
See also cystic disease of breast. 2. a cyst due to endometriosis, found in healed wounds such as those of an episiotomy or an incision for a cesarean section; it is usually found in the vaginal fornix or on the cervix. [medical-dictionary.thefreedictionary.com]
Workup
Ultrasound
- Ovarian Mass
Surgery for ovarian masses in infants, children, and adolescents: 102 consecutive patients treated in a 15-year period. J Pediatr Surg. 2001; 36 :693–99. [ PubMed ] [ Google Scholar ] [ncbi.nlm.nih.gov]
Treatment
The aim of treatment are resolution of symptoms and preservation of ovarian tissue for future fertility. Follicular cysts in adolescents often regress without further treatment [ 4 ]. [ncbi.nlm.nih.gov]
Surgical treatment consisted of limited resection of the follicular cysts. Rapid regression of breast hypertrophy and return of estradiol levels to normal occurred in both children, who were followed for six and 1.5 years. [jamanetwork.com]
A doctor monitors these to make sure they disappear, and looks at treatment options if they do not. [2] [3] [4] [5] [6] [7] References [ edit ] External links [ edit ] [en.wikipedia.org]
Pathophysiology
Pathophysiology [ edit ] This type can form when ovulation doesn't occur, and a follicle doesn't rupture or release its egg but instead grows until it becomes a cyst, or when a mature follicle involutes (collapses on itself). [en.wikipedia.org]