scholarly journals Obstetric outcome in pregnancy complicated by ovarian cysts

2017 ◽  
Vol 6 (11) ◽  
pp. 5051
Author(s):  
Sheela S. R. ◽  
Sreeramulu P. N. ◽  
Poonguzhali L. ◽  
Arulselvi K.
Keyword(s):  
Ovarian Cyst ◽  
Mucinous Cystadenoma ◽  
Symptomatic Patient ◽  
Ovarian Cysts ◽  
Optimal Timing ◽  
Emergency Laparotomy ◽  
Management Options ◽  
The Masses ◽  
Ovarian Masses ◽  
In Pregnancy

Background: Ovarian masses are diagnosed in 0.5-1% pregnancies. During pregnancy ovarian cysts can undergo: resolution of the cyst, change of ultrasound pattern, occurrence of ovarian torsion and intra-cystic haemorrhage or rupture. Ovarian masses (esp torsion) is a cause of pain abdomen during pregnancy. The choice of treatment is mainly conservative, provided the patient is asymptomatic. Dilemma in management arises when the patient is symptomatic. Optimal timing for a planned surgery is the second trimester as it is shown to have least neonatal outcome. The objective of this study was to evaluate management options for ovarian cyst in pregnancy and its effect on outcome of pregnancy.Methods: This study was conducted for 2 years from June 2014 to June 2016, at RL Jalappa Hospital, Kolar. A total of 46 pregnant women were included. The pregnancy outcome and the management used were studied. Also studied were the complications most likely to occur in pregnancies complicated by ovarian masses ovarian masses.Results: Out of 46 patients, 2 (4.3%) patients with ovarian cyst torsion underwent emergency laparotomy. 8 patients underwent surgery (6 in 2nd trimester and 2 at term) for various complications. Only one patient had miscarriage and remaining patients continued till term. Histopathological report of all the masses excised were obtained and 6 were reported to be benign serous cystadenomas,1 benign mucinous cystadenoma and 3 simple cysts.Conclusions: Optimal management for ovarian cyst is conservative in pregnancy provided patient remain asymptomatic and characteristic of cyst are consistent with benign pathology. Surgical management is to be reserved for symptomatic patient.

scholarly journals Ovarian cyst mimicking acute appendicitis in pregnancy: A case report

2021 ◽  
Vol 8 (3) ◽  
pp. 431-433
Author(s):  
Vijay Verma ◽  
Supriya ◽  
Ravi Verma
Keyword(s):  
Acute Appendicitis ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Ovarian Cysts ◽  
Adnexal Masses ◽  
Emergency Intervention ◽  
Large Ovarian Cyst ◽  
Asymptomatic Women ◽  
Ovarian Masses ◽  
In Pregnancy

Ovarian cysts, also known as ovarian masses or adnexal masses are fluid filled sacs or pockets in an ovary or on its surface. These are found incidentally in asymptomatic women. Ovarian cysts are considered large in size when they are over 5 cm and giant when they are over 15 cm. Acute appendicitis is the most common surgical problem encountered during pregnancy. Pregnancy is associated with various anatomic and physiologic changes that may disguise and delay the diagnosis of acute appendicitis. Antibiotic treatment does not always improve the outcome and emergency intervention is required. Early diagnosis and surgical intervention is mandatory for the eventful outcome of pregnancy. Here we present a case of a primigravida patient with a large ovarian cyst mimicking acute appendicitis.

scholarly journals Ovarian huge serous cystadenoma with torsion in adolescent girl: a case report

2017 ◽  
Vol 6 (3) ◽  
pp. 1151
Author(s):  
Shweta Avinash Khade ◽  
Sneha Shirodkar
Keyword(s):  
Differential Diagnosis ◽  
Adolescent Girl ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Emergency Laparotomy ◽  
Surgical Removal ◽  
Germ Cell Tumours ◽  
Serous Cystadenomas ◽  
Epithelial Tumours ◽  
Ovarian Masses

In adolescent Ovarian cysts are an extremely common gynaecological problem. Majority of ovarian cysts are benign with few cases being malignant. Ovarian serous cystadenomas are rare in children. A 14-year-old presented with severe abdominal pain and abdominal distention. She underwent emergency laparotomy and surgical removal, the mass was found to be torsion of ovarian serous cystadenoma-fibroma on histology. In conclusions, germ cell tumours the most important causes for the giant ovarian masses in children. Epithelial tumours should not be forgotten in the differential diagnosis.

scholarly journals Giant mucinous cystadenoma of ovary in an adolescent girl: a case report

2020 ◽  
Vol 10 (1) ◽  
pp. 404
Author(s):  
Gaurav Singh ◽  
Anupriya Narain ◽  
Shashi Dhawan ◽  
Rajeev Kulshrestha
Keyword(s):  
Adolescent Girl ◽  
Menopausal Status ◽  
Mucinous Cystadenoma ◽  
Exploratory Laparotomy ◽  
Ovarian Cysts ◽  
Menstrual Cycles ◽  
Children And Adolescent ◽  
Normal Limits ◽  
Pain Abdomen ◽  
Ovarian Masses

Ovarian masses are rarer in children and adolescent than adults. Simple ovarian cysts are most common non-neoplastic masses in children. We report this case to emphasize that mass abdomen in adolescents can be missed being asymptomatic. A 16-year-old girl presented intermittent pain abdomen, nausea and decreased appetite for 3 months. Her menstrual cycles were normal and regular. Tumor markers were within normal limits. Exploratory laparotomy with decompression of cyst followed by cystectomy was done. The histopathology revealed the mass to be a mucinous cystadenoma. Post op course was smooth. The patients’ age, size of the cyst and menopausal status of the patient are the important deciding factor in the plan of management. A conservative surgical procedure should be the primary aim in order to preserve patient’s fertility.

scholarly journals Twisted ovarian cyst in pregnancy: a case report

2018 ◽  
Vol 7 (8) ◽  
pp. 3389
Author(s):  
Amina Kuraishy ◽  
Nasreen Noor ◽  
Zehra Mohsin
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Serous Cystadenoma ◽  
Ovarian Cysts ◽  
Healthy Male ◽  
Pregnancy Risk ◽  
Male Baby ◽  
In Pregnancy

Ovarian cysts are frequently encountered during pregnancy due to the use of routine prenatal ultrasound. Most of them are benign but in some cases, complications can occur such as torsion, rupture and malignant change. In pregnancy risk of torsion increases 5-fold. It carries significant risk to a pregnant woman and her intrauterine foetus. Here we are reporting a 30-year-old female G3 P1+1L2 with 15 weeks of gestation who presented to antenatal OPD with complain of dull aching abdominal pain for 1 month and nausea and vomiting for 5 days. On ultrasound bilateral ovarian cysts were found, with one of the cyst with multiple septations. She underwent laparotomy, a right sided twisted ovarian cyst was found for which salpingoophrectomy was done. Left sided cyst was simple where cystectomy was done. Her histopathology report showed a bilateral benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy male baby at term. Ovarian cyst diagnosed in pregnancy can be followed up with serial ultrasound but if associated with complication such as torsion then urgent surgical intervention has to be done.

scholarly journals Treatment and therapeutic strategies for pituitary apoplexy in pregnancy: a case series

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yuya Kato ◽  
Yoshikazu Ogawa ◽  
Teiji Tominaga
Keyword(s):  
Pituitary Apoplexy ◽  
Clinical Symptoms ◽  
Case Series ◽  
Optimal Timing ◽  
Presenting Symptoms ◽  
Pathological Evaluation ◽  
Mother And Child ◽  
Life Threatening ◽  
In Pregnancy

Abstract Background Pregnancy is a known risk factor for pituitary apoplexy, which is life threatening for both mother and child. However, very few clinical interventions have been proposed for managing pituitary apoplexy in pregnancy. Case presentation We describe the management of three cases of pituitary apoplexy during pregnancy and review available literature. Presenting symptoms in our case series were headache and/or visual disturbances, and the etiology in all cases was hemorrhage. Conservative therapy was followed until 34 weeks of gestation, after which babies were delivered by cesarean section with prophylactic bolus hydrocortisone supplementation. Tumor removal was only electively performed after delivery using the transsphenoidal approach. All three patients and their babies had a good clinical course, and postoperative pathological evaluation revealed that all tumors were functional and that they secreted prolactin. Conclusions Although the mechanism of pituitary apoplexy occurrence remains unknown, the most important treatment strategy for pituitary apoplexy in pregnancy remains adequate hydrocortisone supplementation and frequent hormonal investigation. Radiological follow-up should be performed only if clinical symptoms deteriorate, and optimal timing for surgical resection should be discussed by a multidisciplinary team that includes obstetricians and neonatologists.

scholarly journals Benign Ovarian Cysts with Raised CA-125 Levels: Do We Need to Evaluate the Fallopian Tubes?

2020 ◽  
Vol 12 (04) ◽  
pp. 276-280
Author(s):  
Devesh Sharma ◽  
Anjali Vinocha
Keyword(s):  
Ovarian Cancer ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Premenopausal Women ◽  
Carbohydrate Antigen ◽  
Ca 125 ◽  
Ovarian Cysts ◽  
Fallopian Tubes ◽  
Case Record ◽  
Carbohydrate Antigen 125

Abstract Objectives It is not clearly known whether some benign (simple) ovarian cysts can convert into cancerous cysts. Size of cyst and wall abnormalities do predict the potentiality of malignancy. Not many studies have been done to explore the malignant potential of large-sized (> 5 cm) unilocular ovarian cysts without wall abnormalities. This study evaluated the correlation between ultrasonographic size of benign ovarian cysts and carbohydrate antigen 125 (CA-125) levels. Methodology Sixty (60) premenopausal women were recruited for the study preoperatively, based on transvaginal ultrasound (TVUS) findings present in the case record sheet received along with the CA-125 sample in the biochemistry laboratories. Those cases with elevated CA-125 levels were selected, where patients had unilocular ovarian cysts without wall abnormalities. CA-125 was done using ECLIA methodology (Cobas e411, Germany). Statistical correlation was calculated between the ovarian cyst size and CA-125 levels using Spearman’s Rho coefficient. Results Mean age group of subjects were 29.7 ± 7.3 years and mean value of CA-125 (normal < 35 IU/mL) was found to be increased: 118.0 ± 147.1 IU/mL so was the mean diameter of cysts (cut off ≤ 5 cm): 48.6 ± 59.8 cm. No correlation was found between CA-125 levels and volume of ovarian cyst (r = 0.005, p = 0.680) for all subjects. Conclusions The lack of correlation between size of ovarian cysts and CA-125 levels provides a hint that the ovarian cyst epithelium does not directly express CA-125 and it may come from sites like the fallopian tube. Thus, raised level of CA-125 in benign ovarian cyst should be followed-up more closely, demanding assessment of fallopian tubes for early diagnosis of ovarian cancer. Also, algorithms can be explored to include size of ovarian cyst and CA 125 levels to predict ovarian cancer.

scholarly journals Laparoscopic Cystectomy of Huge Ovarian Cyst in Nulliparous Woman

2018 ◽  
Vol 13 (3) ◽  
pp. 63-65
Author(s):  
Amarnath Thakur ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Kumari Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Abdominal Mass ◽  
Mucinous Cystadenoma ◽  
Nulliparous Woman ◽  
Surface Epithelium ◽  
Epithelioid Cells ◽  
Brenner Tumor ◽  
Laparoscopic Cystectomy

Mucinous cystadenoma arises from the totipotent surface epithelium of the ovary. Its association with Brenner tumor suggests its origin as mucinous metaplasia of the epithelioid cells. The chance of malignancy is 5–10 percent. Patients usually present with abruptly increasing abdominal mass. Cystectomy is the management of choice in these cases. It was managed by laparoscopy.

Early Detection of Wilms' Tumor in a Child with Hemihypertnophy and Ovarian Cysts

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 135-136
Author(s):  
Deborah Tolchin ◽  
Mordecai Koenigsberg ◽  
Maria Santorineou
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Ovarian Cyst ◽  
Wilms Tumor ◽  
Present Report ◽  
Ovarian Cysts ◽  
Term Pregnancy ◽  
Intravenous Pyelogram ◽  
Routine Examination ◽  
Bilateral Wilms Tumor

There have been many reports of the association between hemihypertrophy and intraabdominal masses, including Wilms' tumor, hepatoma, and adrenal cortical neoplasias.1 The present report describes a patient with segmental hemihypertrophy, multiple ovarian cysts, and bilateral Wilms' tumor and suggests a screening regimen for patients with hemihypertrophy. CASE REPORT The patient was a 9 lb 14 oz product of a term pregnancy, who was well until a mass filling the entire right side of the abdomen was discovered on routine examination at 4 months of age. Intravenous pyelogram (IVP) confirmed a large prerenal mass which on ultrasound was felt to be an ovarian cyst.

scholarly journals Acute presentation of ruptured ovarian cyst secondary to torsion with ipsislateral concomitant ectopic pregnancy: A case report

2014 ◽  
Vol 3 (2) ◽  
pp. 54-56
Author(s):  
Mahendra R Pandey ◽  
Neeva Ojha
Keyword(s):  
Acute Abdomen ◽  
Ovarian Cyst ◽  
Emergency Laparotomy ◽  
Hospital Emergency ◽  
Obstetrics And Gynaecology ◽  
History Of ◽  
Gestational Sac ◽  
One Year ◽  
The Right ◽  
Urine Pregnancy Test

Twenty-one year unmarried regularly menstruating lady without history of amenorrhea presented with acute abdomen in TU Teaching Hospital –Emergency Department. On evaluation urine pregnancy test was positive. Urgent ultrasound revealed multiloculated cystic lesion measuring 8.5 x 8 x 6.7 cms in the right adnexa anterolateral to the uterus with no intrauterine gestational sac. She underwent emergency laparotomy with right salpingo-oophorectomy. On laparotomy there was twisted and ruptured right ovarian cyst with unruptured ampullary pregnancy on the same side. There was coexistence of these two conditions which presented as acute abdomen. DOI: http://dx.doi.org/10.3126/njog.v3i2.10834 Nepal Journal of Obstetrics and Gynaecology Vol.3(2) 2008; 54-56

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