Dhobale Anupama V, Kohale Mangesh G, Jha Sagar V, Bankar Nandkishor J, Khatake Pratima
Obstetrics and Gynaecology, Datta Meghe Medical College, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.
Pathology, Datta Meghe Medical College, Datta Meghe Institute of Medical Sciences (DU), Wardha, IND.
Cureus. 2023 Jan 10;15(1):e33582. doi: 10.7759/cureus.33582. eCollection 2023 Jan.
Ovarian cysts are common during pregnancy as an outcome of routine prenatal ultrasounds. Although most cases are benign, complications, such as torsion, rupture, and malignant changes, can occur. Torsion risk increases fivefold during pregnancy. It is extremely hazardous to expectant mothers and unborn children. In a rural health tertiary center, we report the case of a 23-year-old primigravida with 14 weeks of pregnancy presented with acute abdomen and nausea, vomiting for four hours. On ultrasonography, she was diagnosed with a 14 cm × 11 cm left dermoid cyst. She underwent a laprotomy, and a twisted dermoid cyst was found; therefore, a left oophorectomy was performed with consent. Histopathological examination revealed the presence of a dermoid cyst. She is regularly followed up at our center with a healthy intrauterine fetus growing within. Although antepartum surgical intervention has been proven safe, there are some risks associated with abdominal surgery for both pregnant women and their unborn children. As a result, the management strategy must be chosen based on a risk-benefit analysis of adnexal mass characterization and gestational age.
卵巢囊肿在孕期因常规产前超声检查而较为常见。尽管大多数病例为良性，但仍可能发生诸如扭转、破裂及恶变等并发症。孕期扭转风险增加五倍。这对孕妇和胎儿极为危险。在一家农村三级医疗中心，我们报告了一例23岁初产妇，孕14周，出现急腹症、恶心、呕吐4小时。超声检查显示，她被诊断为左侧14 cm×11 cm皮样囊肿。她接受了剖腹手术，发现一个扭转的皮样囊肿；因此，在获得同意后进行了左侧卵巢切除术。组织病理学检查显示存在皮样囊肿。她在我们中心定期接受随访，宫内胎儿生长良好。尽管产前手术干预已被证明是安全的，但腹部手术对孕妇及其胎儿仍存在一些风险。因此，必须根据附件包块特征和孕周的风险效益分析来选择管理策略。
