DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20222816
Published: 2022-10-28

Incidental adnexal masses during caesarean section: a case series

Sowjanya S. B., Nisha Gusain, Shweta Lalgudi, Jyoti Rokade

Abstract


Adnexal masses originate in the ovaries, fallopian tubes or surrounding tissue. Adnexal masses can be found in women of any age and pregnancy is no exception. Reasons for adnexal masses going undiagnosed in antenatal period are asymptomatic and small (≤5 cm) mass size; the pregnant patients refused a pelvic examination and a transvaginal USG examination for the fear of abortion during early pregnancy. In 3rd trimester ultrasound, a gravid uterus may obscure the correct visualization and detection of an adnexal mass or it is often missed when we keep our focus on the baby and placenta. As there is also increase in caesarean section rate, the incidence has also increased. Here we presented a case series of 4 different cases, we had described variety of adnexal masses which were diagnosed accidentally during caesarean section and also about their management. Case 1-dermoid cyst, case 2-para ovarian cyst, case 3-complex cyst, case 4-includes 3 cases of simple cyst. Adnexal masses arising in pregnancy are functional, asymptomatic and resolve spontaneously. The risk of malignancy in persistent adnexal masses is low and ultrasonography is the preferred method to assess this risk. If the pathology is incidental finding in caesarean section, it is to be removed in the same setting to avoid surgery later.


Keywords


Dermoid, Ovarian cyst, Ovarian mass, Para ovarian

Full Text:

PDF

References


Webb KE, Sakhel K, Chauhan SP, Abuhamad AZ. Adnexal mass during pregnancy: a review. Am J Perinatol. 2015;32(11):1010-6.

Paredes I, Pastrana M, Gordon A, Tan TL. Incidental adnexal mass at caesarean section- the value of implementing a comprehensive consenting process. Br J Med Practition. 2011;4(1):409.

Kumar KA, Harshini V, Sreelatha S, Ramya S. A study of incidental adnexal masses during caesarean section and its management. New Indian J Obgyn. 2018;4(2):161-4.

Whitecar MA, Turner S, Higby MK. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol. 1999;181:19‑24.

Horowitz NS. Management of adnexal masses in pregnancy. Clin Obstet Gynecol. 2011;54(4):519-27.

Paredes I, Pastrana M, Gordon A, Tan T. Incidental adnexal mass at caesarean section- the value of implementing a comprehensive consenting process. BJMP. 2011;4(1):409.

Yu C, Wang J, Lu W, Xie X, Cheng X, Li X. Analysis of adnexal mass managed during cesarean section. Adv Clin Exp Med. 2019;28(4):447-52.

Kumar KA, Harshini V, Sreelatha S, Ramya S. A study of incidental adnexal masses during caesarean section and its management. New Indian J Obgyn. 2018;4(2):161-4.