Mishra Sangeeta, Yadav Manoj, Walawakar Sripad J
Department of Obstetrics and Gynecology, Koshi Zonal Hospital, Nepal.
Department of Pathology, Birat Medical College and teaching Hospital, Nepal.
JNMA J Nepal Med Assoc. 2018 Mar-Apr;56(210):629-632.
Huge ovarian cyst are found in less than 1% of all ovarian cyst in pregnancy and are associated with poor feto-maternal outcome. A 28 years old G2P1 with history of normal vaginal delivery 3 years back was referred from local health post with complains of intermittent pain abdomen at 29 weeks. Her scan showed huge ovarian cyst of 18.9×17.6 cm with multiple thick septation. Woman was conservatively managed till term and elective surgery was planned however she presented in labour with breech presentation at 39 weeks and 4days. Emergency lower segment caesarian section along with left sided salpingo-oophorectomy was done along with delivery of 2.5 kg healthy female baby. Histopathology was suggestive of mucinous cystadenoma of ovary. Although antepartum removal of ovarian cyst has been recommended to ensure good pregnancy outcome, expectant management and timed intervention can be adopted for pregnancy with huge ovarian cysts. Keywords: mucinous cystadenoma; ovarian cyst; pregnancy.
巨大卵巢囊肿在妊娠合并卵巢囊肿中所占比例不到1%，且与不良的母胎结局相关。一名28岁、孕2产1的女性，3年前曾顺产，因29周时间歇性腹痛被当地卫生站转诊而来。她的超声检查显示有一个18.9×17.6厘米的巨大卵巢囊肿，伴有多个厚分隔。该女性接受了保守治疗直至足月，并计划进行择期手术，然而她在39周零4天时出现臀位分娩。遂行急诊下段剖宫产术及左侧输卵管卵巢切除术，同时娩出一名体重2.5千克的健康女婴。组织病理学提示为卵巢黏液性囊腺瘤。尽管建议在产前切除卵巢囊肿以确保良好的妊娠结局，但对于巨大卵巢囊肿妊娠，可采用期待管理和适时干预。关键词：黏液性囊腺瘤；卵巢囊肿；妊娠
