Title: Successful Pregnancy Outcome after Laprotomy (A Case of Pregnancy with Ovarian Tumour)

Authors: Dr Shilpi Chowdhury, Dr Soma Bandyopadhyay, Dr Prachi, Dr Bhagyashree

 DOI: https://dx.doi.org/10.18535/jmscr/v8i2.94

Abstract

   

Introduction

Most common ovarian masses encountered during pregnancy are functional ovarian cysts including follicular and corpus luteal cysts. The other ovarian masses in order are benign cystic teratomas, serous cyst adenomas, mucinous cyst adenomas and endometriomas.

Torsion of ovarian tumour is commonest complication during pregnancy. The diagnosis is establised by the characteristic history, presenting complaints of patient, examination findings and it is confirmed by transvaginal ultrasonography. Whenever, this condition is encountered, it is important to go for immediate surgery.

Aim

To present a case of successful pregnancy outcome after laprotomy

Setting- Department of Obstetrics and Gynaecology, Katihar Medical College, Katihar

Case Summary

A 26 year old Primigravida with 2 months amenorrhea presented in obstetric casualty with chief complaint of acute pain abdomen since morning. Pain was all over abdomen with no aggravating or relieving factors. There was no history of nausea, vomiting, fever, syncopal attack, bladder or bowel complaints. There was no history of discharge or bleeding per vaginum. Her previous menstrual cycle was normal. There was no significant past, personal or any surgical history.

References

  1. Cunningham, F.G., Lebeno, K. J., et al, editors. Williams obstetrics chapter 63( 25th ) Newyork McGraw-Hill Education; 2018 : Pg.1197-1199.
  2. Berek, J.S., & Novak, E.(2012). Berek and Novak's gynaecology. Chapter 37. (15th ed). Philadelphia; Lppincott Williams & wilkkins.
  3. Whitecar MP, Turners, Higby MK. Adnexal masses during pregnancy, a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999; 181: 19-24.
  4. Hooverx, Jenkins TR (2011), Evaluation & Management of adenexal mass in pregnancy. ACOG (205; 97-102).

Corresponding Author

Dr Shilpi Chowdhury

PGT 2nd year, Dept. of Obstetrics and Gynaecology, KMCH