Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan.
Taiwan J Obstet Gynecol. 2013 Mar;52(1):117-9. doi: 10.1016/j.tjog.2012.07.041.
The diagnosis and treatment of adnexal mass during pregnancy is a major challenge for obstetricians. A rare case is reported of retroperitoneal cystic lesion during pregnancy.
A 31-year-old woman was diagnosed with an adnexal cystic lesion at 8 weeks of gestation and underwent laparoscopic surgery at 14 weeks of gestation. During laparoscopic surgery, the bilateral ovaries and tubes were normal, but the lesion was located on the right-side retroperitoneal area. Aspiration and enucleation were performed successfully by laparoscopy. The pathology report revealed mucinous cystadenoma. The patient had a smooth pregnancy course and delivered a healthy baby at 39 weeks of gestation.
Laparoscopic surgery is a safe procedure in the management of pregnant women with suspicious adnexal cystic lesions.
妇产科医生在处理妊娠期间附件包块时面临巨大挑战。本文报道了一例妊娠期间罕见的腹膜后囊性病变。
1 例 31 岁女性患者于妊娠 8 周时诊断为附件囊性病变，并于妊娠 14 周时行腹腔镜手术。腹腔镜检查时，双侧卵巢和输卵管正常，但病变位于右侧腹膜后区域。成功地通过腹腔镜进行了抽吸和剥离。病理报告显示黏液性囊腺瘤。患者妊娠过程顺利，于 39 周时分娩一健康婴儿。
腹腔镜手术是处理可疑附件囊性病变孕妇的一种安全方法。
