Management of Adnexal Mass in Pregnancy: Case Report

Year 2022, Volume: 2 Issue: 1, 28 - 30, 25.04.2022

Ömer Tammo

https://doi.org/10.29228/aijhs.14

Abstract

The rate of an adnexal mass detected during pregnancy increased after the routine use of ultrasonography. There is no consensus on the approach to adnexal masses in pregnancy, which requires treatment in a wide spectrum from a conservative approach to complicated operations. These masses, which are frequently asymptomatic, are mostly benign and resolve spontaneously during the later weeks of pregnancy, especially in the second trimester, but persistent masses can be difficult to follow up and treat. Therefore, we examined the diagnosis, follow-up and treatment of adnexal masses during pregnancy, based on our patient who had a 15x13.5 cm well-defined cystic mass in the right adnexal area, which was detected incidentally at the first antenatal visit to our clinic, and who presented with acute abdomen during the follow-up and underwent an emergency operation.

Keywords

Adnexal mass, Pregnancy, Laparoscopy

Gebelikte Adneksiyal Kitleye Yaklaşım: Olgu Sunumu

Abstract

Gebelikte saptanan adneksiyal kitle oranı ultrasonografinin rutin olarak kullanılmasından sonra artmıştır. Sıklıkla asemptomatik olan bu kitlelerin çoğunluğu benign olup, ilerleyen gebelik haftalarında özellikle ikinci trimesterde spontan rezolüsyona uğramaktadır. Bu kitlerlerden persiste olanların takip ve tedavisi zor olabilmektedir. Tedavi spekturumu konservatif yaklaşımdan komplike operasyonlara kadar çok geniş bir yelpaze sunmaktadır. Buna karşın günümüzde gebelikteki adneksiyel kitlelere yaklaşımda belirlenmiş altın standart bir tedavi şekli bulunmamaktadır. Olgu sunumumuzda rutin gebelik kontrolü sırasında akut batın tablosu ile başvuran ve laparoskopi ile tedavi edilen bir hastanın tanı, takip ve tedavisinin literatür verileriyle sunulması amaçlanmıştır.

Keywords

Adneksiyal kitle, Gebelik, Laparoskopi

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