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Title: ADNEXAL CYST IN PREGNANCY
e-poster Number: EP 040
Category: Miscellaneous
Author Name: Dr. Pooja Sneha
Institute: DR B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL
Co-Author Name:
Abstract :
A 28 yrs old G4P2L2A1 at 34 weeks 4 days of gestation in cephalic presentation with Right adnexal cyst with no known co-morbidities , following up since 28 weeks of gestation at our institute . During ANC visits patient was followed up with obstetric scan with Doppler every 3 weeks. Steroiding planned at 35-36 weeks of gestation. On examination patient was moderately built and nourished , mild pallor , vitals stable , CVS , RS, CNS examination were normal . Obstetric examination suggested fundal height corresponding to 32 weeks size , deviated to right , left flank full , Right cyst corresponding to 30 weeks , uterus relaxed , Fetal heart sound present . Last USG done 22/10/2024 Single live intrauterine fetus of 33 weeks in cephalic presentation at the time of scan. Normal interval growth scan Normal fetal colour Doppler and biophysical profile study A Large cyst in the right side of abdomen 15.4 *13.7*17.4 cm ( 1900 +/-100 cc ) Investigations O positive , Hb-10.10 g/dl, TLC ? 13780/cmm, PLT-2.15 lakh/cmm OGCT-119 mg/dl Following this patient was admitted for safe confinement . Elective LSCS planned at 38-39 weeks of gestation . Major risk of ovarian cysts in pregnancy is to the mother namely pain from torsion , rupture , or haemorrhage into cyst. If the cyst in large enough in third trimester , it may predispose to malpresentation or obstructed labor . Fetal risks include miscarriage and preterm delivery . If an ovarian cyst causes obstruction in labor , delivery is by cesarean section . Reference: HIGH RISK PREGNANCY By JAMES D.