Abstract

Adnexal masses compose 1-2% of chilhood masses. Sixty to 70% of adnexal masses originate from ovaries and are mostly simple cysts and 97% of them are benign. Ovarian pathologies often remain silent, however they may come up with abdominal pain, ovarian torsion, haemorrhage, and ovarian cyst rupture which can lead to acute abdomen. Some of the patients refer to hospital with abdominal mass. With the help of advances in imaging techniques, especially ultrasound (US) and its widespread usage, ovarian masses are detectable, even incidentally. Detailed assessment of ovarian masses detected by US are made with magnetic resonance (MR).

With the widespread use of laparoscopy, the laparoscopic approach in the diagnosis and treatment of ovarian cysts in children has become the gold standard. Complication rates decrease and success rates increase, as the surgeon who will perform laparoscopy experienced and has a command over pelvic anatomy.

Cystic masses larger than 5 cm in children should be intervened by preventive approach like aspiration, fenestration, unroofing and de-epithelization. However, masses contained solid components and/or large masses should not be aspirated and ruptured intraperitoneally. Oophorectomy by laparoscopy assisted or laparotomy should be performed.