Giant ovarian cyst complicating term pregnancy, a rare case report

Adnexal masses are generally detected in the early stages of pregnancy with the assistance of ultrasonographic evaluations. It is rare event for these masses to grow into enormous sizes. Giant cysts can be misdiagnosed as polyhydramnios or intraabdominal ascites. In our case, which was referred to us with the prediagnosis of polyhydramnios, we observed a giant cystic mass originating from the right ovary. We performed right salpingo-oophorectomy during the cesarean section for its management. Pathological examination revealed benign mucinous cystadenoma. The diagnosis and management of adnexal masses should ideally be conducted before pregnancy. Masses reaching the immense sizes during pregnancy can complicate pregnancy, and their management should be specific/personalized to the cases.

___

1. Ross EK, Kebria M. Incidental ovarian cysts: When to reassure, when to reassess, when to refer. CCJM. 2013;80:503–14.

2. Elhalwagy H. Management of ovarian masses in pregnancy. Trends Urology, Gynecol Sexual Health. 2009;14:14–8.

3. Mishra SK, Yadav M, Walavalkar SJ. Giant ovarian mucinous cystadenoma complicating term pregnancy. J Nepal Med Assoc. 2018;56:629–32.

4. Cengiz H, Ekin M, Kaya C, et al. Management of incidental adnexal masses on caesarean section. Niger Med J. 2012;53:132.

5. Yeika EV, Efie DT, Tolefac PN, et al. Giant ovarian cyst masquerading as a massive ascites: a case report. BMC Res Notes. 2017;10:749.

6. Özyer ŞŞ, Güngör ES, Mollamahmutoğlu L, et al. Giant ovarian mucinous cystadenomas complicating pregnancy: Case Report. Turkiye Klinikleri J Gynecol Obst. 2005;15:333-6.

7. Qublan HS, Al-Ghoweri AS, Al-Kaisi NS, et al. Benign mucinous cystadenoma with stromal luteinization during pregnancy: a hormonally responsive tumor and a rare cause of fetal intrauterine growth restriction. J Obstet Gynaecol Res. 2002;28:104–7.

8. Kiemtoré S, Zamané H, Sawadogo YA, et al. Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report. BMC Pregnancy Childbirth. 2019;19:523.

9. Baradwan S, Sendy F, Sendy S. Giant ovarian cyst in pregnant woman had uncomplicated term vaginal delivery and treated laparoscopically postpartum: A Case Report. MRJMM. 2017;5:366-9.

10. Dhuliya DJ, Rahana F, Al Wahibi A, et al. Largest serous cystadenoma in the first trimester treated laparoscopically: A Case Report. Oman Med J. 2012;27:e030.

11. Lin YH, Hwang JL, Huang LW, et al. Successful laparoscopic management of a huge ovarian tumor in the 27th week of pregnancy. A case report. J Reprod Med. 2003;48:834-6
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )