Tayyaba Majeed, Yasmeen Sattar, Fatima Waheed, Iram Mobusher, Kanwal Saba.
Management of ovarian cyst in pregnancy and its effect on pregnancy outcome.
Pak J Med Health Sci Jan ;5(1):78-80.

Objective: To evaluate management options for ovarian cyst in pregnancy and its effects in pregnancy Study design: Descriptive Study Place and duration: This study was carried out at Lady Willingdon hospital over a period of one year from June 2007 to June 2008. Patients and methods: During the study period, 4500 pregnant women were entertained at Lady Willingdon Hospital. Out of these, 16 were diagnosed as pregnancy with ovarian cyst at antenatal clinic as well as in emergency labor room. Out of these 16 patients, 10(62.5%) were diagnosed during pregnancy by ultrasonography, 2(12.5%) were diagnosed before pregnancy. Only 3 cases presented with ovarian cyst torsion and 1 with ovarian cyst rupture. The mean diameter of cyst at presentation was 9.05+/-7.6 cm. All patients initially managed conservatively. 4 patients had emergency laparotomy due to ovarian cyst torsion and rupture.2 patients had elective laparotomy in second trimester due to large size. 10 patients had laparotomy in the post partum period. Regarding pregnancy outcome only one pregnancy ended into miscarriage and all remaining patients had a term delivery. All lesions were sent for histopathology 15 lesions were benign cystadenomas and only 1 was dermoid cyst. Conclusion: Scarce data exist regarding management of ovarian cyst. Ovarian cysts complicate only 0.35% of pregnancies. We concluded that optimal management for ovarian cyst is conservative in pregnancy provided patient remain asymptomatic and characteristic of cyst are consistent with benign pathology.

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