Hemorrhage in a Fetal Ovarian Cyst

A 38-year-old lady, gravida 4, attended antenatal check-up at 34 weeks of gestation, ultrasonography was done and the fetus noted to have an intraabdominal cystic mass. She had no significant past medical history, and previous antenatal follow up was uneventful. The mass was hyperechoic with well-defined margin. It measures 8.2cm x 7.7cm, and occupied nearly the entire fetal abdomen. Reassessment of the mass at 35-week gestation noted increment in its size. On suspicion of intracystic haemorrhage and the mother’s obstetric history of multiple caesarean sections, delivery via emergency lower segment caesarean section was chosen. The baby was delivered with a good Apgar score and her birth weight was 2.65kg. She was clinically pink and not in respiratory distress despite having a grossly distended abdomen.