TWISTED OVARIAN CYSTS IN PREGNANCY: BALANCING CONSERVATIVE AND SURGICAL MANAGEMENT FOR OPTIMAL OUTCOMES
Abstract
Objective: Ovarian cysts are commonly detected in pregnancy due to routine prenatal ultrasonography. Most are benign and resolve spontaneously, but some may cause complications, risking both mother and fetus. Case Report: A 23-year-old primigravida at 30-31 weeks of gestation presented for routine antenatal care. She had a history of laparotomy and left salpingo-oophorectomy at 11 weeks 3 days pregnant due to ovarian torsion. A 9.16 × 6.32 cm left ovarian cyst with a depth of 5.13 cm was detected early in pregnancy and managed conservatively. However, due to worsening pain, surgical intervention was performed. At the current visit, she was asymptomatic, and ultrasound confirmed a viable singleton pregnancy with normal fetal parameters. Vaginal delivery was recommended. Conclusion: This case highlights the importance of timely diagnosis and appropriate management of ovarian cysts in pregnancy. A balance between conservative monitoring and surgical intervention is crucial to ensure optimal maternal and fetal outcomes.
References
Bhagat N, Gajjar K. Management of
ovarian cysts during pregnancy. Obstet
Gynaecol Reprod Med. 2022
Sep;32(9):205–10.
Farhat I Ben, Bergaoui H. Un cas de
kyste ovarien géant au cours de la
grossesse. Pan Afr Med J. 2024;47.
Fang YMV, Gomes J, Lysikiewicz A,
Maulik D. Massive luteinized follicular
cyst of pregnancy. Obstetrics and
gynecology. 2005 May;105(5 Pt
:1218–21.
Condous G, Khalid A, Okaro E, Bourne
T. Should we be examining the ovaries
in pregnancy? Prevalence and natural
history of adnexal pathology detected
at first-trimester sonography.
Ultrasound in Obstetrics & Gynecology.
Jul 16;24(1):62–6.
Moreira M, Almeida P, Jardim O,
Guerra N, Moura P. Quisto do ovário
fetal: a propósito de um caso clínico
abordado por aspiração intra-uterina.
Diagnóstico Prenatal. 2011 Jul;
Bent C, Thomson B, Kief-Garcia M.
Ovarian torsion after hysterectomy and
oophoropexy. Radiol Case Rep. 2021
Jul;16(7):1646–9.
Koteshwara S, Bohra D. Rare Case of
Ovarian Preserving Surgery in
Unmarried Woman with a Case of U/LSalpingo-oophorectomy and Its
Management: Oophoropexy. World
Journal of Laparoscopic Surgery. 2022
May 1;15(2):167–9.
Ahluwalia A, Giga S, Afaghi M. The
double bladder sign: Challenges in
early sonographic diagnosis of ovarian
torsion. Radiol Case Rep. 2022
Nov;17(11):4188–92.
Zhu TW, Li XL. Ovarian Torsion: A
Review of the Evidence. Obstet
Gynecol Surv. 2024 Aug;79(8):484–92.
Shadinger LL, Andreotti RF, Kurian RL.
Preoperative Sonographic and Clinical
Characteristics as Predictors of
Ovarian Torsion. Journal of Ultrasound
in Medicine. 2008 Jan;27(1):7–13.
Hatata MA, Soliman DA, Hosni KA.
Approach to ovarian torsion with corpus
luteum removal in early pregnancy.
Qatar Med J. 2023 Sep 23;2023(3).
Sasaki KJ, Miller CE. Adnexal Torsion:
Review of the Literature. J Minim
Invasive Gynecol. 2014
Mar;21(2):196–202.
Srisajjakul S, Prapaisilp P,
Bangchokdee S. Imaging features of
unusual lesions and complications
associated with ovarian mature cystic
teratoma. Clin Imaging. 2019
Sep;57:115–23.
Lasso Betancor CE, Garrido Pérez JI,
Murcia Pascual FJ, Granero Cendón R,
Vargas Cruz V, Paredes Esteban RM.
[Ovarian torsion. long-term follow-up of
the black-bluish ovary after
laparoscopic detorsion]. Cir Pediatr.
Jan;27(1):26–30.
Beaunoyer M, Chapdelaine J,
Bouchard S, Ouimet A. Asynchronous
bilateral ovarian torsion. J Pediatr Surg.
May;39(5):746–9.
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