DefinePK

Research Objective

To report a case of successful pregnancy outcome in a patient with a large ovarian cyst and to emphasize the importance of careful follow-up, early diagnosis, and timely intervention for optimal maternal and fetal outcomes.

Methodology

Case report detailing the management of a 30-year-old pregnant woman with a large unilateral ovarian cyst. The approach involved antenatal ultrasonographic diagnosis, elective lower segment caesarean section (LSCS) at 37 weeks of gestation, and left salpingo-oophorectomy. Histopathological examination of the cyst was performed.

Methodology Flowchart

                        graph TD;
    A["Patient Presentation with Symptoms/Diagnosis"] --> B["Antenatal Ultrasonography"];
    B --> C["Large Ovarian Cyst Detected"];
    C --> D["Gestation Assessment"];
    D --> E["Decision for Elective LSCS"];
    E --> F["Steroid Cover Administration"];
    F --> G["Elective LSCS at 37 Weeks"];
    G --> H["Delivery of Baby"];
    H --> I["Left Salpingo-oophorectomy"];
    I --> J["Histopathological Examination"];
    J --> K["Confirmation of Mucinous Cystadenoma"];
    K --> L["Post-operative Monitoring"];
    L --> M["Good Maternal and Fetal Outcome"];                    

Discussion

Ovarian cysts in pregnancy are uncommon and can lead to adverse maternal and fetal outcomes. While most adnexal masses resolve spontaneously or are managed conservatively, large cysts require careful monitoring and potential surgical intervention. Mucinous cystadenoma is a common type of ovarian tumor, and while mostly benign, can be associated with complications in pregnancy.

Key Findings

A 30-year-old multi-gravida woman at 34 weeks of gestation was diagnosed with a huge unilateral ovarian cyst. She underwent an elective LSCS at 37 weeks, delivering a healthy female baby. A left ovarian cyst measuring 22 cm x 20 cm was removed via salpingo-oophorectomy. Histopathology confirmed it as a mucinous cystadenoma. The mother and baby had a good outcome.

Conclusion

Ovarian cysts in pregnancy necessitate careful follow-up. Early diagnosis, timely and appropriate intervention, coupled with proper planning, management, and expertise, are crucial for achieving favorable maternal and fetal outcomes.

Fact Check

- The incidence of ovarian cysts in pregnancy is less than 1% (1 in 1000).
- The patient was diagnosed with a left ovarian cyst measuring 22 cm x 20 cm.
- The histopathological examination reported the cyst as a mucinous cystadenoma.

Mind Map