Adnexal Masses in Pregnancy: Successful Outcomes

Background: Adnexal masses in pregnancy are rare and found incidentally. Advances in ultrasound technology enable us to detect adnexal masses in pregnancy. Incidence of adnexal masses in pregnancy is around 1%. Most of the adnexal masses in pregnancy are asymptomatic, functional and resolve spontaneously. The risk of malignancy of adnexal masses in pregnancy is low and advances in ultrasound help us to assess the risk. Management of adnexal cysts depends on size of the cysts. Methods: This is a retrospective observational study done at PMCH & RI for a period of 18 months. The data was collected through predesigned proforma by reviewing medical records and analysed. Results: All of them belonged to 20-35 years age group. All of them diagnosed during routine antenatal ultrasound and had regular follow-up. All of them were asymptomatic during pregnancy. All the 7 cases had caesarean section along with cystectomy and postoperative period was uneventful. Histopathological report showed 4 mucinous cystadenoma, 2 serous cystadenoma and 1 corpus luteal cyst. None of them had maternal and neonatal complications. Conclusion: Most of the adnexal masses arising in pregnancy are probably benign in origin and can be managed expectantly if they are asymptomatic. Ultrasound is preferred first line investigation for diagnosing adnexal masses during pregnancy. MRI can be done in suspicion of malignancy. If surgery is indicated, laparoscopy is safe and feasible and can be done in second trimester.