Management of ovarian cyst during pregnancy

Management of ovarian cyst during pregnancy


  • Shaila Anwar
  • Nabeela Shami
  • Shaheena Asif



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


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.




How to Cite

Anwar, S., Shami, N., & Asif, S. (2016). Management of ovarian cyst during pregnancy. Annals of King Edward Medical University, 10(4).



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