Re: adnexal cyst in a 27-wk-pregnancy

From: Dr. Amarnath Bhide/Rajendra Deshpande (amarnath@bom2.vsnl.net.in)
Fri Jul 25 06:33:28 1997


On Wed, 23 Jul 1997, Sing-Hung Chang wrote:

> Dear all,
>
> A thin 20 y/o pregnant woman came to her first prenatal visit at 27 wks of
> gestation, in which a pelvic mass was palpated. The U/S ordered revealed a
> 5.5 x 7.0 cm adnexal cyst, with features compatible with a "simple" ovarian
> cyst (unilocular, thin-walled, no septations or internal echoes). She has
> been completely asymptomatic so far.
>
> At this point, what is the most recommended management?
> Observe with follow-up U/S scans?
> Exploratory laparotomy?
>
> Thanks to all in advance.
>
> Sing-Hung Chang
> Resident
>

I would remove the cyst using open laparoscopy.

Dr. Amarnath Bhide Associate professor, Seth G. S. Medical college and Wadia Maternity Hospital, Bombay, India.





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