Recurrent Ovarian Cyst in Pregnancy, The Advantage of Laparoscopic Approach – A Case Report
Journal Title: Open Access Journal of Reproductive System and Sexual Disorders - Year 2018, Vol 1, Issue 3
Abstract
Background: The incidence of recurrent ovarian cyst in pregnancy is rare. However, complications such as torsion, rupture, infection, haemorrhage and obstructed labour may occur. Thus, surgical removal is required to avoid such complications. Background: The incidence of recurrent ovarian cyst in pregnancy is rare. However, complications such as torsion, rupture, infection, haemorrhage and obstructed labour may occur. Thus, surgical removal is required to avoid such complications. The incidence of recurrent ovarian cyst is rare and may occur on the same or contralateral ovary which may require repeated surgery. Ovarian cyst with diameter ≥5cm is at risk of cyst accidents such as torsion, rupture, infection and haemorrhage. [1] These complications may necessitate emergency surgery which carries a higher risk of foetal loss and maternal morbidity as compare with elective surgery. Furthermore, 17-21% of cases have obstructed labour due to the presence of cyst. [2] Laparoscopic cystectomy in pregnancy is a surgical alternative to conventional laparotomy. Its main advantage lies within its power of magnification and panoramic view of the pelvis allowing lesser intra-operative uterine manipulation. This further translates to shorter hospital stay with faster recovery, better cosmetic outcome, reduced postoperative pain and complications such as bleeding and pelvic adhesion. [2-4] There are also evidence suggesting that laparoscopy and laparotomy do not differ in foetal outcome (foetal weight, growth restriction, foetal malformations and infant survival rates). [3] Here we present a case of recurrent ovarian cyst in pregnancy which was managed laparoscopically. Case Summary
Authors and Affiliations
Wan Ahmad Hazim Wan Ghazali, Emily Christine D Silva, Ser Yee Ning
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