Adnexal Masses in Pregnancy

Schwartz, Nadav; Timor‐Tritsch, I. E.; Wang, Eileen

doi:10.1097/grf.0b013e3181bea9d7

Cited by 67 publications

(70 citation statements)

References 26 publications

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“…The overall prevalence of adnexal masses in pregnancy ranges from 2 to 10 % [1]. These masses are often incidental findings detected during first trimester ultrasonography and mostly ovarian in origin.…”

Section: Introductionmentioning

confidence: 97%

Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Surampudi

Nirmalan

Gundabattula

et al. 2014

Arch Gynecol Obstet

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Section: Introductionmentioning

confidence: 97%

Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Surampudi

Nirmalan

Gundabattula

et al. 2014

Arch Gynecol Obstet

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“…Incidence is higher in the first trimester and declines progressively throughout gestation. Malignancy is found in 1-10 % of cases and is more frequent with increasing age [1][2][3]. The incidence reported in the literature includes the following differential diagnostics: dermoid cyst (25 %), corpus luteum cyst or functional cyst (17 %), serous cystadenoma (14 %), mucinous cystadenoma (11 %), endometriotic cyst (8 %), carcinoma (2.8 %), borderline tumor (3 %), and leiomyoma (2 %) [2].…”

Section: Introductionmentioning

confidence: 99%

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

et al. 2014

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Management of adnexal masses during pregnancy is challenging for most gynecologists. When surgery is needed, a minimally invasive approach should be preferred. The aim of this study was to evaluate the safety and feasibility of the closed entry technique for laparoscopic management of adnexal masses during pregnancy. We reviewed clinical records and videos of laparoscopic procedures performed during pregnancy. Seventeen pregnant patients with diagnosis of adnexal mass that required surgery underwent laparoscopic surgery using the closed entry or Veress technique. We searched for complications related to surgery and obstetrical and perinatal outcomes. Median gestational age at the moment of surgery was 17 weeks (range, 6-30 +4 weeks). A total of 18 interventions were performed: 12 salpingo-oophorectomies, 3 cystectomies, 1 salpingectomy, and 2 ovarian detorsions. There were no major operative or entry-related complications. Median hospital stay was 2 days (range, 1-5). Perinatal outcomes were as follows: four preterm births (all of them induced), nine full-term deliveries, one early pregnancy loss at 7 weeks, one miscarriage at 18 weeks, and two ongoing uncomplicated pregnancies. Laparoscopic approach using closed entry technique with an individual selection of the puncture site is safe in the management of adnexal masses that require surgery during pregnancy. In our experience, the Veress technique is more versatile as it gives the surgeon more freedom to choose the location of the first trocar in patients with important space limitations due to the size of the adnexal mass and/or the enlarged gravid uterus.

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“…1 Torsion of adnexa is common during pregnancy with 5-fold increase in incidence. 2 Early diagnosis and treatment ensures salvage of ovarian tissue because a delay of 36-48 hrs.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Torsion of Adnexa I N Second Trimester of Pregnancy : A Case Report

Nath¹,

Medhi²,

Das³

2014

jemds

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Adnexal torsion during pregnancy is a rare event and bilateral adnexal torsion is even rarer. Hence this case is reported. A 20-year-old woman, Gravida 2, Para 1 presented in the second trimester of pregnancy with marked abdominal distension and pain. Transabdominal ultrasonographic examination revealed bilateral huge ovarian cysts and live fetus in utero of 14 weeks gestational age. Laparotomy revealed massive bilateral cysts with torsion on both sides. Right sided saphingo-oophorectomy and left sided cystectomy was done. Patient was followed up who delivered a healthy baby at term. Hence prompt diagnosis and management is essential in adnexal torsion especially in bilateral involvement not just for the index but also for future pregnancies.

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Adnexal Masses in Pregnancy

Cited by 67 publications

References 26 publications

Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Management of adnexal masses in pregnancy: our experience from a tertiary referral perinatal centre in South India

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Bilateral Torsion of Adnexa I N Second Trimester of Pregnancy : A Case Report

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