التفاصيل البيبلوغرافية
| العنوان: |
Adnexal masses in pregnancy. |
| المؤلفون: |
Ciobanu, Iuliana-Alina Enache1,Ștefan, Berbecaru, Elena-Iuliana-Anamaria, Rămescu, Cătălina, Vochin, Andreea, Băluţă, Ionuţ-Daniel, Istrate-Ofiţeru, Anca-Maria, Nagy, Rodica, Comănescu, Maria-Cristina, Drocaș, Ileana, Zorilă, George-Lucian, Iliescu, Dominic-Gabriel, Drăgușin, Roxana-Cristina |
| المصدر: |
Ginecologia.ro; Sep2023, Vol. 11 Issue 41, p18-18, 1p |
| مصطلحات موضوعية: |
ADNEXAL diseases, PREGNANCY, PREGNANT women, BLOOD flow, OVARIAN cysts, HOSPITAL admission & discharge, INDUCED labor (Obstetrics) |
| مستخلص: |
Introduction. Adnexal masses (AM) detected during pregnancy require a prompt and accurate diagnosis to ensure fetal safety and good outcomes. Adnexal masses in pregnant women are most commonly detected during ultrasonographic (US) examination, routinely performed early in pregnancy. The incidence of adnexal masses in pregnancy has a rate of 0.01 15%. Obstetricians should decide between expectant management with a risk of rupture, torsion, need for emergent surgery, labor obstruction and progression of malignancy, or surgical removal during pregnancy. We present a case report of unilateral adnexal mass diagnosed early in pregnancy. Materials and method. A 24 year old female patient addressed an obstetrics gynecology private practice for dating a first pregnancy. A single intrauterine seven week viable pregnancy was confirmed with a corpusluteum present in the right ovary. The examination of the left adnexa found an unilocular tumor of 18 20 cm, with no papillary structures, no solid components or acoustic shadows. There was no ascites, nor increased blood flow to the tumor. The imagistic criteria pleaded for a benign huge ovarian cyst. Results. In the second trimester, about 20 weeks of gestation, after proper counselling, we decided to perform open surgery to re move the adnexal mass. Intraoperatively, we were not able to find any normal ovarian tissue. We performed a unilateral adnexectomy. The patient was discharged 48 hours later, with no complications and no symptoms at all. Conclusions. The complex diagnosis of adnexal masses in pregnancy is now accessible due to clear and specific US guidelines that help differentiate between benign and malignant masses. The management of adnexal masses during pregnancy is still a subject of de bate, with no consensus regarding the best management plan. Tumor size, nature, location, symptomatology and the first trimestre mass detection are all crucial aspects for a proper care. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |