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 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 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 Laparoscopic management of large ovarian cysts

2017 ◽  
Vol 6 (5) ◽  
pp. 1999
Author(s):  
Beeresh C. S. ◽  
Divyasree Doopadapalli ◽  
Vimala K. V. ◽  
Krishna Lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Benign Pathology ◽  
Large Ovarian Cyst ◽  
Borderline Malignancy

Background: Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts.Methods: Thirty-eight patients from January 2014 to December 2016, presumed to be large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging and basic serum marker were only included in this study. The cysts were aspirated initially followed by cystectomy, oophorectomy or total hysterectomy depending on age, parity, coexisting pathology and desire for future fertility.Results: Out of 38 cases, 6 were non-ovarian adnexal masses. 8 out of rest 32 cases presented with pain due to torsion were managed on emergency basis, rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cms. One cases of borderline malignancy were detected and the rest showed benign pathology. Three of the cases required mini Laprotomy for specimen removal. Most of women were successfully treated laparoscopically without any complications and conversion to laparotomy was required in 3 cases.Conclusions: With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by general gynecologist is feasible.

scholarly journals A CASE OF HAEMORRHAGIC OVARIAN CYST CURED WITH HOMOEOPATHIC SIMILIMUM

2020 ◽  
pp. 385-387
Author(s):  
Aman Deep
Keyword(s):  
Case Report ◽  
Corpus Luteum ◽  
Adverse Drug Reactions ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Ovarian Cysts ◽  
Drug Reactions ◽  
Corpus Luteum Cyst

Haemorrhage in an ovarian cyst is very common. These cyst are known as haemorrhagic ovarian cysts (HOCs).Most of the cyst disappears spontaneously, but certain cyst requires surgical intervention. HOCs are formed because of occurrence of bleeding into a follicular or corpus luteum cyst. Allopathic system of medicines used various hormonal pills for its management which may have adverse drug reactions. Homoeopathic medicines are very helpful to manage such conditions. This article is about a case of 27 years old female who was suffering from haemorrhagic cyst. Homoeopathic medicine was given on the basis of totality of symptoms and patient cured within three months of treatment. Patient’s consent has been taken for the publication of this case report.

Prenatal ultrasound diagnosis of fetal pelvic tumors. II. Fetal ovarian cysts – what does really matter? Literature review

2019 ◽  
Author(s):  
I.V. Tsikhanenka , A.N. Chukanov
Keyword(s):  
Literature Review ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Prenatal Ultrasound ◽  
Ultrasound Diagnosis ◽  
Ovarian Cysts ◽  
Pelvic Tumors ◽  
Related Risk ◽  
Mri Diagnosis ◽  
Ultrasound Features

Literature review of prenatal ultrasound and MRI-diagnosis of fetal ovarian cyst is presented. Cysts evolution, ultrasound features and related risk of complications and postnatal surgical intervention are reviewed. Authors analyzed data of publications in aspects of time of diagnosis, complications and outcomes of antenatal diagnosed ovarian cysts. Antenatal and postnatal management are discussed.

scholarly journals Acute Appendicitis in Pregnancy: a Diagnostic and Management Challenge

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Zainur Rashid Z ◽  
Sulaiha SA ◽  
Azmi MN
Keyword(s):  
Acute Appendicitis ◽  
Maternal Death ◽  
Surgical Intervention ◽  
Accurate Diagnosis ◽  
Sonographic Diagnosis ◽  
Appropriate Treatment ◽  
Open Laparotomy ◽  
Management Challenge ◽  
Prompt Diagnosis ◽  
In Pregnancy

Acute appendicitis is the most common extra-uterine surgical emergency encountered during pregnancy, but an accurate diagnosis is still an enigma. Anatomical shifting of the appendix by the enlarging uterus makes the clinical and sonographic diagnosis difficult. Prompt diagnosis and treatment are essential to prevent perforation, which increases the risk of fetal and maternal death. Surgical intervention, either by an open laparotomy or laparoscopy is the most appropriate treatment for appendicitis. This article reviews the epidemiology, clinical diagnosis, investigation, complications and treatment of acute appendicitis in pregnancy.

scholarly journals Vanishing large ovarian cyst with thyroxine therapy

2013 ◽  
Vol 2013 ◽  
Author(s):  
Pramila Dharmshaktu ◽  
Aditya Kutiyal ◽  
Dinesh Dhanwal
Keyword(s):  
Differential Diagnosis ◽  
Replacement Therapy ◽  
Ovarian Cyst ◽  
Elective Surgery ◽  
Hormone Replacement ◽  
Surgical Excision ◽  
Ovarian Cysts ◽  
List Type ◽  
Thyroxine Therapy ◽  
Large Ovarian Cyst

Summary A 21-year-old female patient recently diagnosed with severe hypothyroidism was found to have a large ovarian cyst. In view of the large ovarian cyst, she was advised to undergo elective laparotomy in the gynaecology department. She was further evaluated in our medical out-patient department (OPD), and elective surgery was withheld. She was started on thyroxine replacement therapy, and within a period of 4 months, the size of the cyst regressed significantly, thereby improving the condition of the patient significantly. This case report highlights the rare and often missed association between hypothyroidism and ovarian cysts. Although very rare, profound hypothyroidism that can cause ovarian cysts in an adult should always be kept in the differential diagnosis to avoid unnecessary ovarian surgery. Learning points Hypothyroidism should be considered in the differential diagnosis of adult females presenting with multicystic ovarian tumours. Adequate thyroid hormone replacement therapy can prevent these patients from undergoing unnecessary and catastrophic ovarian resection. Surgical excision should be considered only when adequate thyroid replacement therapy fails to resolve ovarian enlargement. In younger women with ovarian cysts, it is also desirable to avoid unnecessary surgery so as to not compromise fertility in the future.

scholarly journals Adnexal Masses in Pregnancy: Diagnosis and Management

2007 ◽  
Vol 1 (4) ◽  
pp. 66-74 ◽  
Author(s):  
George M Graham
Keyword(s):  
Surgical Intervention ◽  
Adnexal Mass ◽  
Ultrasound Images ◽  
List Type ◽  
Management Options ◽  
Safe Alternative ◽  
Adnexal Masses ◽  
Increased Risk ◽  
Adverse Pregnancy ◽  
In Pregnancy

Abstract The widespread use of ultrasound in obstetrics has led to an increase in the diagnosis of asymptomatic adnexal masses in pregnancy. Ultrasound is an accurate and safe method for diagnosing the etiology of an adnexal mass and distinguishing benign from malignant pathology. The management of an adnexal mass in pregnancy is controversial. Historically, it was recommended that any adnexal mass be removed electively in the second trimester to exclude malignancy and prevent complications such as torsion, rupture, and obstruction of labor. More recent recommendations have limited surgical intervention in pregnancy to symptomatic adnexal masses and those that are highly suggestive of malignancy. Surgery in pregnancy is associated with an increased risk of adverse pregnancy outcomes. However, laparoscopy appears to be a safe alternative to laparotomy for benign masses when performed by experienced surgeons. Learning objectives To list the differential diagnoses of adnexal masses in pregnancy To interpret ultrasound images of adnexal masses and distinguish benign from malignant masses To describe the management options for adnexal masses in pregnancy, including the indications and options for surgical intervention.

Bilateral complicated ovarian cysts of the fetus

2019 ◽  
Author(s):  
N.V. Mashinets, V.N. Demidov
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Surgical Intervention ◽  
Ovarian Cysts

Case report of prenatal diagnosis of bilateral complicated ovarian cysts of the fetus at 34 weeks of pregnancy is presented. The particularity of this case is that one ovarian cyst in the fetus was complicated by intrauterine torsion, which required surgical treatment after birth. In the cavity of the second cyst, hemorrhage occurred with spontaneous regression, which did not require surgical intervention.

scholarly journals Adnexal masses during pregnancy: management for a better approach

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Simona Martone ◽  
Libera Troìa ◽  
Stefano Luisi
Keyword(s):  
Multidisciplinary Approach ◽  
Surgical Intervention ◽  
Obstetric Outcomes ◽  
Negative Effects ◽  
Third Trimester ◽  
Adnexal Masses ◽  
Surgical Expertise ◽  
Gynecological Tumor ◽  
In Pregnancy

AbstractThe incidence of adnexal masses, due to large use of ultrasound during pregnancy, has considerably increased during last years. Large percentage of ovarian masses found during pregnancy consists in simple cysts and they tend to disappear spontaneously during pregnancy. There are still a percentage of masses that persist in second and third trimester that need to be monitored and, sometimes, surgically removed. If the mass increases in size, sometimes, it is itself an indication for delivery via cesarean section. Keeping in mind that adnexal masses diagnosed in pregnancy are generally benign, it is essential to consider that ovarian cancer still represents the second gynecological tumor for incidence after cervical cancer during pregnancy. Most patients are clinically asymptomatic and diagnosis is often a random finding during scheduled ultrasound for pregnancy follow-up. Sometimes, the finding of an ovarian mass requires other imaging technique such as magnetic resonance imaging. Computed tomography is avoided during pregnancy due to negative effects on fetus. Treatment option should be discussed and a multidisciplinary approach is required to set ad individualized plan, considering both mother and fetus. Sometimes the differential diagnosis between benign masses and malignancy is not feasible only through imaging, so that surgical intervention with histological examination is mandatory, even during pregnancy. Plus, although ovarian cyst torsion, hemorrhage, or rupture is uncommon in pregnancy, some women may require emergency surgery for these complications. Until 90s pregnancy was considered an absolute contraindication for laparoscopy, but nowadays both open surgery and laparoscopy can be performed considering mass diameter, gestational age, and surgical expertise. Emerging data are indeed confirming the advantages of laparoscopic surgery compared with laparotomy in term of recovery and need for medical care. The purpose of this review is to assess the incidence of adnexal masses during pregnancy and examine their impact on obstetric outcomes.

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