A15 cms X15 cms ovarian cyst has been diagnosed in an 8 weeks pregnant lady. Fuher Management includes:
Correct Answer: Laparotomy at 14-16 weeks
Description: The ovarian tumour discovered during pregnancy is an enlarged corpus luteal cyst,a benign as well as a malignant tumour.An asymptomatic tumour is discovered during routine ultrasound scanning in early pregnancy.Symptomatic tumour however presents with abdominal pain in pregnancy. Corpus luteal cyst regresses after 12th week and can therefore be observed.The benign tumour should be removed in the second trimester between 14th and 16th week.Earlier surgery may increase the risk of aboion,whereas laparotomy in the third trimester increases the surgical difficulty because of the growing uterus,and preterm is also a possibility. SHAW&;S TEXTBOOK OF GYNECOLOGY,Pg no:388,15th edition
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Gynaecology & Obstetrics
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