{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T04:10:50Z","timestamp":1749183050280,"version":"3.41.0"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Fetal adnexal cysts present unique challenges during pregnancy, requiring careful management strategies to mitigate risks throughout gestation and delivery. We present the case of a 35-year-old G4P2 patient, referred to our center for a large adnexal cyst confirmed by ultrasound (US) and fetal MRI, with a calculated volume of 210\u2009mL. Given the cyst's size and the family's strong preference for vaginal delivery (VD), US-guided aspiration was performed at 356\/7 weeks, followed by an uncomplicated spontaneous VD at 372\/7 weeks. Two weeks postpartum, the ovarian cyst re-accumulated, requiring laparoscopic-assisted cystectomy in a torsed but viable left ovary. This case demonstrates the importance of individualized prenatal care, where clinical decisions balance parental preferences with medical risks. Maximizing the opportunity for vaginal birth was a top priority for the family, and the successful reduction of the cyst's size through percutaneous aspiration minimized the risk of abdominal dystocia and allowed for a safe VD. We review relevant literature, emphasizing the need for further research to refine fetal intervention criteria and improve outcomes for such cases.<\/jats:p>","DOI":"10.1055\/a-2562-1898","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T23:53:11Z","timestamp":1742428391000},"page":"e58-e61","source":"Crossref","is-referenced-by-count":0,"title":["Prenatal Aspiration of Fetal Ovarian Cysts: When to Intervene? A Case Report and Review of the Literature"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3044-238X","authenticated-orcid":false,"given":"Giulia","family":"Bonanni","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"},{"name":"Department of Women, Children, and Public Health Sciences, IRCCS Agostino Gemelli University Polyclinic Foundation, Catholic University of the Sacred Heart, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6062-6772","authenticated-orcid":false,"given":"Scott A.","family":"Shainker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Krispin","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryne A.","family":"Didier","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"},{"name":"Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry L.","family":"Buchmiller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Boston Children's Hospital, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza A.","family":"Shamshirsaz","sequence":"additional","affiliation":[{"name":"Division of Fetal Medicine and Surgery, Fetal Care and Surgery Center, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1080\/01443615.2019.1576601","article-title":"Prenatal diagnosis and prognosis assessment of fetal intra-abdominal cystic lesions: a retrospective study in 264 cases","volume":"39","author":"M Lv","year":"2019","journal-title":"J Obstet Gynaecol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1148\/rg.352140073","article-title":"Fetal ovarian cysts: review of imaging spectrum, differential diagnosis, management, and 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