Management of ovarian cyst during pregnancy

Management of ovarian cyst during pregnancy

Authors

  • Shaila Anwar
  • Nabeela Shami
  • Shaheena Asif

DOI:

https://doi.org/10.21649/akemu.v10i4.1257

Keywords:

Ovarian Cyst. Trust. Polycystic Ovary Syndrome. Ovarian Hyperstimulation Syndrome. Pregnancy Outcome. Anovulation. Ovarian Neoplasms. Academic Medical Centers. Ovary.

Abstract

Objective: To determine the optimum management of ovarian cyst in association with pregnancy. Setting and duration: From January 1999 to December 2003 in Gynae Unit I, Jinnah Hospital Lahore and Ghurki Trust Teaching Hospital, Lahore. Patients & methods: 21 patients were included in this study. All patients presented in early 2nd trimester of pregnancy (14-26 weeks). Simple ovarian cysts were seen in 20 patients. One patient had a multiseptate cyst and had cystic and solid areas. Results: 2 (9.52%) patients had laparotomy for cyst removal in the puerperium; 4 (19.04%) had cystectomy at the time of LSCS while 71.4% (15 patients) had laparotomy for ovarian cystectomy during pregnancy due to torsion. The histopathology report was follicular cysts in 20 patients (95.23%) while 1 (4.76%) had a germ cell tumour. This patient was given PEB (cisplatin, epirubicin and bleomycin) chemotherapy after 20 weeks of gestation. Conclusion: Ovarian cyst in combination with pregnancy is seen in 0.01% of pregnancies. Management depends upon the presentation and symptoms. Laparotomy done in the 2,d trimester usually does not cause fetal loss. The cysts are usually benign with malignancy seen very rarely.

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Published

05/17/2016

How to Cite

Anwar, S., Shami, N., & Asif, S. (2016). Management of ovarian cyst during pregnancy. Annals of King Edward Medical University, 10(4). https://doi.org/10.21649/akemu.v10i4.1257

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