Diagnosis and Management of Adnexal Masses in Pregnancy

Yakasai, Ibrahim Adamu; Bappa, Lawal Abdullahi

doi:10.4103/2006-8808.110249

Cited by 32 publications

(41 citation statements)

References 26 publications

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“…In the present study, the incidence of serous cystadenoma was greater, while according to literature, the benign dermoid cysts are the most common ovarian masses associated with pregnancy after functional cysts. 1,5 Dermoid cyst in pregnancy is associated with complications, such as torsion and rupture causing chemical peritonitis and preterm labor. 5 In this study, among four patients with dermoid cyst, one patient developed torsion and three remained asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…1 Functional cyst remains the most common ovarian cyst followed by dermoid cyst, serous ovarian cystadenoma, and ovarian malignancy. 1 Variable presentations of pregnancy with ovarian mass include mass per abdomen, acute pain abdomen, fetal malpresentation, obstructed labor, or an incidental finding on antenatal ultrasound examination or during LSCS. Ultrasonography is the most commonly used investigative modality; magnetic resonance imaging (MRI) is reserved for complicated cases.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonography is the most commonly used investigative modality; magnetic resonance imaging (MRI) is reserved for complicated cases. 1,2 Emergency laparotomy or laparoscopy is the treatment of choice in acute conditions. In other conditions, the ovarian mass nature and size are important determining factors for management.…”

Section: Introductionmentioning

confidence: 99%

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Pregnancy with Ovarian Mass: A Varied Presentation

Siwach¹,

Sangwan²,

Lakra³

et al. 2017

JSAFOG

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Objective: Pregnancy with an ovarian mass of 6 cm is a rare condition that sometimes goes unnoticed until term and, at times, leads to an acute surgical emergency. Torsion, rupture, fetal malpresentation, and obstructed labor are main associated complications. Materials and methods: This was a retrospective study of 14 cases of ovarian masses during pregnancy. All cases with persistent ovarian mass of 6 cm with pregnancy, presented symptomatically or asymptomatically, were included in the study. Patients' medical records were analyzed for general profiles, gestation age, clinical presentation, signs and symptoms, investigation, management, and neonatal outcome. Results: Mean age and parity in the study were 23.92 ± 3.91 and 2.14 ± 2.14 respectively. Only 35.71% were symptomatic, 11 (78.57%) patients were diagnosed with ultrasonography, and in 3 (21.43%), the diagnosis was made incidentally during lower segment cesarean section (LSCS). Patients were managed according to gestation age, presenting symptoms, and nature of mass. Cystectomy was done in 8 (57.14%) patients followed by salpingo-oophorectomy in 4 (28.57%) cases, and detorsion and cystectomy in 2 (14.28%) cases. On histopathology, serous cystadenoma was the most common type (42.85%) followed by dermoid cyst (28.75%), dysgerminoma (7.14%), and mucinous cystadenoma (7.14%). However, two cases could not be assessed due to gangrenous changes of masses. Emergency surgery was required in five cases of torsion; rest of the patients were taken for elective surgery. Conclusion: Pregnancy is a unique clinical stage with many physiological changes for the mother with her fetus in the womb. It is the maternofetal well-being that is of paramount importance in managing varied presentations of an ovarian mass in pregnancy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pregnancy with Ovarian Mass: A Varied Presentation

Siwach¹,

Sangwan²,

Lakra³

et al. 2017

JSAFOG

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“…diagnosis for a complex-appearing adnexal mass includes benign masses such as dermoid cyst (7-37% incidence), serous cystadenoma (5-28% incidence), mucinous cystadenoma, alternatively ovarian malignancy accounts for approximately 1-8% of adnexal masses in pregnancy, such as endometrioma, hydrosalpinx, heterotopic pregnancy, and ovarian cancer with an incidence of 1-2.5% that may require surgical treatment [46,47].…”

Section: Adnexal Massesmentioning

confidence: 99%

Errors in imaging the pregnant patient with acute abdomen

et al. 2015

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Pregnant women with an acute abdomen present a critical issue due to the necessity for an immediate diagnosis and treatment; in fact, a diagnostic delay could worsen the outcome for both the mother and the fetus. There is evidence that emergencies during pregnancy are subject to mismanagement; however, the percentage of errors in the diagnosis of emergencies in pregnancy has not been studied in depth. The purpose of this article is to review the most common imaging error emergencies. The topics covered are divided into gynecological and non-gynecological entities and, for each pathology, possible errors have been dealt with in the diagnostic pathway, the possible technical errors in the exam execution, and finally the possible errors in the interpretation of the images. These last two entities are often connected owing to a substandard examination, which can cause errors in the interpretation. Consequently, the systemization of errors reduces the possibility of reoccurrences in the future by providing a valid approach in helping to learn from these errors.

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“…1 Malignant ovarian neoplasms account for 1%-8% of all persistent adnexal masses diagnosed during pregnancy. [2][3][4] Germ cell tumor is the most common malignancy encountered in a reproductive age group. 5 It poses a diagnostic as well as therapeutic dilemma for the clinicians due to the non-reliability of tumour markers during pregnancy and non-availability of proper guidelines for the management of these cases.…”

Section: Introductionmentioning

confidence: 99%

Yolk sac tumor in an antenatal patient: a challenging case

Namgyal

Soni

Verma

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Pregnancy complicated with adnexal masses is a very common occurrence. However, most of these adnexal masses encountered in pregnancy are benign in nature and are found incidentally during routine antenatal ultrasound. Malignant ovarian neoplasms account for 1%-8% of all persistent adnexal masses diagnosed during pregnancy. Yolk sac tumor (YST) complicating pregnancy is very rare and has no proper guidelines for its diagnosis and management hence causing a therapeutic dilemma for the clinicians. Therefore, an individualised approach is preferred in such cases. It is very important to report such cases for better understanding and management of these cases. Here we present a case report of a 23-year-old primigravida at 30 weeks gestation with yolk sac tumor of right ovary, surgical stage IIIc who responded well to fertility sparing surgery with cisplatin-based combination chemotherapy. She has no evidence of disease post treatment and has been put on regular follow up.

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Diagnosis and Management of Adnexal Masses in Pregnancy

Cited by 32 publications

References 26 publications

Pregnancy with Ovarian Mass: A Varied Presentation

Pregnancy with Ovarian Mass: A Varied Presentation

Errors in imaging the pregnant patient with acute abdomen

Yolk sac tumor in an antenatal patient: a challenging case

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