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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (4): 583-586    DOI: 10.12891/ceog4749.2019
Original Research Previous articles | Next articles
An observational study on diagnosis and management of adnexal masses in pregnancy
N.N. Chavan1, *(), R. Deshmukh1, N. Raj1
1Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College, Sion, Mumbai, India
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Abstract  

Background: Adnexal masses are seen in 1 in 80 to 1 in 8,000 pregnancies. However, with an increased use of ultrasonography in pregnancy, there is a significant rise in the incidence of adnexal masses in pregnancy. Objective: The study was undertaken to analyse the incidence, histological types, complications, and management of adnexal masses in pregnancy. Materials and Methods: This is an observational study of 44 cases of adnexal masses in pregnancy, performed in the Department of Obstetrics and Gynaecology LTMMC and LTMGH, Mumbai, a tertiary reference centre, during the years 2014 to 2016. Results: The incidence of adnexal masses in pregnancy was 0.2% in this study with dermoid and mucinous cyst adenoma being the most common histological types. Torsion was the most common complication seen in the study. Only 11 (25%) cases were managed conservatively. Thirty-one cases underwent exploratory laparotomy and two were managed laparoscopically. There was no significant detrimental effect on pregnancy as 79.5% of pregnancies continued until term without any complications. Conclusion: Adnexal masses in pregnancy can be effectively managed in pregnancy. Both laparotomy and laparoscopy are safe, if used judiciously.

Key words:  Adnexal mass      Pregnancy      Laparoscopy in pregnancy      Tumour markers     
Published:  10 August 2019     
*Corresponding Author(s):  N.N. CHAVAN     E-mail:  nnchavan22@gmail.com

Cite this article: 

N.N. Chavan, R. Deshmukh, N. Raj. An observational study on diagnosis and management of adnexal masses in pregnancy. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 583-586.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4749.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I4/583

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