Masses annexielles et grossesse : quelle imagerie et quels diagnostics ?

Haddad, Samuel; Selleret, Lise; Fedida, Benjamin; Benjoar, Marc-David; Beldjord, Selma; Thomassin‐Naggara, Isabelle; Bazot, Marc

doi:10.1016/j.femme.2017.03.009

Cited by 3 publications

(9 citation statements)

References 23 publications

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“…The discovery of an adnexal mass during pregnancy poses a problem of etiological diagnosis and often leads wrongly to surgical management [ 1 ]. Only 1–8% of adnexal masses operated in pregnant women are of malignant origin [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, ultrasound remains the first-line examination in the setting of any adnexal mass, even during pregnancy. The endovaginal route is recommended in the first trimester, whereas the suprapubic route is preferred in the second and third trimesters [ 1 ]. The endometrioma presents itself as a homogeneous echogenic image not vascularized with Doppler imaging, a discrete posterior reinforcement, and small hyperechogenic points [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Access to ultrasound at the beginning of pregnancy makes the association between pregnancy and adnexal mass an increasingly frequent situation [ 1 ]. Endometrioma is a rare and benign etiology of adnexal mass.…”

Section: Introductionmentioning

confidence: 99%

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Decidualization of an ovarian endometrioma complicated by a sigmoid fistula during pregnancy: a case report

et al. 2020

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Background During pregnancy, the discovery of adnexal masses remains frequent. Such masses are mostly benign. Ovarian endometrioma is a rare etiology. The diagnosis may be difficult in some situations, such as decidualization. It may be asymptomatic or result in complications for which magnetic resonance imaging is needed. Case presentation We describe an unusual case of decidualization of an ovarian endometrioma complicated by a sigmoid fistula during a 7-week, 1-day pregnancy in a Arabic patient aged 38 years who developed acute pelvic pain with fever. She had a medical history of unexplored secondary dysmenorrhea. The diagnosis was suspected on the basis of magnetic resonance imaging findings. The management was based on surgery, during which exploration revealed a mass at the expense of the left ovary being very adherent and fistulized to the sigmoid. We performed adnexectomy followed by digestive ostomy. The result of pathological study with immunohistochemistry led to a diagnosis of decidualization of an ovarian endometrioma altered by infection. Conclusion Decidualization of an ovarian endometrioma can lead sometimes to unexpected complications. The decision to provide surgery must be made with caution without delaying treatment in the event of a deep suspicion of malignancy and/or complication. The particular and exceptional complication discovered in our patient is the fistulization to the sigmoid.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Decidualization of an ovarian endometrioma complicated by a sigmoid fistula during pregnancy: a case report

et al. 2020

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“…Ultrasound remains the key examination for the diagnosis of ovarian tumors associated with pregnancy [11]. The following ultrasound criteria are necessary to suggest the benign nature of the tumor.…”

Section: Diagnosismentioning

confidence: 99%

“…The presence of a cystic ovarian formation with an echogenic nodule hanging from the wall (Rokistanky's nodule) is strongly suggestive of a mature teratoma [6]. Magnetic resonance imaging (MRI) would provide additional information when ultrasound is not relevant enough [1,4,6,11]. Since MRI is not a common practice in our under medicalized context, it was not performed in our case.…”

Section: Diagnosismentioning

confidence: 99%

Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Eléonore¹,

Effoh²,

Ehui³

et al. 2020

JGO

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As part of the optimization of care, ultrasound scans are routine during pregnancy. The result is the more frequent finding of a benign-looking tumor associated with pregnancy. These are most often mature teratomas of the ovary also called dermoid cyst. We report a case of mature ovarian teratoma larger than 60 mm, diagnosed in early pregnancy. The objective of this clinical case is to discuss the pathophysiological mechanisms, prognosis and management in countries under medical care. This case occurred in a primigest, nulliparous 28-year-old woman who did not have a specific medical history. The pregnancy was brought to term without major complications. The mode of delivery was a cesarean section, which gave us the opportunity to perform the cystectomy. In view of this case, we propose that, in the absence of a laparoscopy or a laparotomy for an ovarian cyst associated with pregnancy and when the maternal-fetal condition allows it, therapeutic abstention may be considered. In this case, special prenatal monitoring must be carried out by a multidisciplinary team of obstetrician, sonographer, intensive care anesthesiologist and neonatologist. Apart from complications directly related to the cyst during pregnancy, we recommend a full term caesarean section. This represents an opportunity to perform the cystectomy at the same time of operation.

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Mature teratoma during pregnancy: A case report

Joudar

Abbassi

Khalloufi

et al. 2023

J Case Rep Images Obstet Gynecol

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Introduction: The mature teratoma or dermoid cyst of the ovary is a benign tumor with a good prognosis which constitutes less than 1% of ovarian tumors. Its association with pregnancy is rare. Case Report: We report the case of a 30-year-old woman admitted for acute pelvic pain with an abdomino-pelvic mass diagnosed on pelvic ultrasound supplemented by pelvic magnetic resonance imaging (MRI). The indication for surgical exploration was given because of her presentation with pain raising, the size of the mass, and the risk of torsion. The patient underwent conservative treatment based on a cystectomy with multiple biopsies, the anatomical-pathological result of which was in favor of a mature ovarian teratoma. Through the analysis of this observation and the data of the literature, we will discuss the different aspects of this association. Conclusion: Mature teratoma and pregnancy are still a rare entity. Expectant management is appropriate in asymptomatic small mature teratoma. However in symptomatic or large mature teratoma surgical intervention is needed.

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Masses annexielles et grossesse : quelle imagerie et quels diagnostics ?

Cited by 3 publications

References 23 publications

Decidualization of an ovarian endometrioma complicated by a sigmoid fistula during pregnancy: a case report

Decidualization of an ovarian endometrioma complicated by a sigmoid fistula during pregnancy: a case report

Mature Ovarian Teratoma and Pregnancy About a Case in Abidjan Cote d’Ivoire

Mature teratoma during pregnancy: A case report

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