Volume: 9 Issue: 1
Year: 2021, Page: 69-73, Doi: https://doi.org/10.47799/pimr.0901.14
Received: Feb. 6, 2021 Accepted: April 5, 2021 Published: April 5, 2021
Objective: To study the pregnancy outcome and management of ovarian cysts during pregnancy.
Methods: A prospective observational study was conducted in Prathima Institute of Medical Sciences, Karimnagar from June 2018 to June 2020. A total of 32 cases with ovarian cysts 5cm with benign features as suggested by ultrasound were included in the study. The pregnancy outcome and management were studied.
Results: Out of 32 pregnant women with ovarian cysts, 25(78.12%) were asymptomatic and were managed conservatively. Of the 25, spontaneous resolution was seen in 18(56.25%) patients while 7(21.87%) patients in whom ovarian cyst persisted or was incidentally detected during cesarean section were managed by cystectomy at the same time. Surgery was needed in the antenatal period in 7(21.87%) patients due to complications such as increase in size of the cyst seen in 4(12.5%) and torsion seen in 3(9.37%). All the 32 patients had good perinatal outcome. There were no miscarriages. All patients continued to term except one, who presented at 36 weeks with torsion, andunderwent emergency cesarean section with oophorectomy. Histopathological examination of the excised cysts showed 5 as simple cyst, 5 as serous cystadenomas, 3 as mucinous cystadenomas and 1 as dermoid.
Conclusion: Management of the ovarian cysts during pregnancy is conservative. Most of them undergo spontaneous resolution. Surgical management is reserved for only symptomatic patients. Pregnancy outcome as such is not affected by ovarian cysts during pregnancy.
Keywords: Ovarian cysts, Pregnancy
1. Hermans RH, Fischer DC,van der Putten HW,et al. Adnexal masses in pregnancy. Onkologie.2003;26(2):167-172.
2. Bernhard LM, Klebba PK, Gray DL, et al. Predictors of persistence of adnexal masses in pregnancy. Obstet and Gynecol.1999;93(4):585-589.
3. Leiserowitz GS, Xing G, Cress R, et al. Adnexal masses in pregnancy: how often are they malignant? Gynecologic Oncology.2006;101(2):315-321.
4. Yen CF, Lin SL, Murk W,et al. Risk analysis of torsion and malignancy for adnexal masses during pregnancy. Fertility and Sterility.2009;91(5):1895-1902.
5. Aggarwal P, Kehoe S. Ovarian tumors in pregnancy: a literature review. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2011;155(2):119- 124.
6. Schmeler KM, Mayo-smith WW, Peipert JF, et al. Adnexal masses in pregnancy: surgery compared with observation. Obststetrics and Gynecology.2005;105(5):1098-1103.
7. Baser E, Erkilinc S, Esin S, et al. Adnexal masses encountered during cesarean delivery. International Journal of Gynecology and Obstetrics. 2013;123(2):124- 126.
8. Goh W, Bohrer J, Zalud I. Management of the adnexal mass in pregnancy. Curr Opin Obstet Gynecol. 2014;26(2):49-53.
9. Sheela SR, Sreeramulu PN, Poonguzhali L, Arulselvi K. Obstetric outcome in pregnancy complicated by ovarian cysts. Int J Reprod Contracept Obstet Gynecol 2017;6(11):5051-5054.
10. Saba Musharaf, Saba Malik, Mohd Abass, Fidah Mohamad. Adnexal Mass in Pregnancy: Obstetric Outcome and Management. Int J Med Res Prof. 2018; 4(6):82-84.
11. Bascietto F, Liberati M, Marrone L, et al. Outcome of fetal ovarian cysts diagnosed on prenatal ultrasound examination: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2017;50(1):20-31.
12. Balinskaite V, Bottle A, Sodhi V, Rivers A, et al. The Risk of Adverse Pregnancy Outcomes Following Nonobstetric Surgery During Pregnancy : Estimates From a Retrospective Cohort Study of 6.5 Million Pregnancies. Ann Surg. 2017;266(2):260-266.
13. Koo Y, Kim HJ, Lim K , et al. Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy. Australian and New Zealand Journal of Obstestrics and Gynaecology. 2012;52(1):34-38.
Singham G,Vivekananda A,Siripurapu S,Mohapatra I . Ovarian cysts in Pregnancy: Obstetric Outcome and Management. Perspectives in Medical Research 2021; 9 (1):69-73 DOI:10.47799/pimr.0901.14