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[Management of ovarian cyst associated to pregnancy]
Rim Ben Hmid1, Sami Mahjoub, Sonia Mabrouk
1Service C, Centre de Maternite et de Neonatalogie Tunis.
Background:
The problem of the association of the ovarian cyst and pregnancy is to determine whether the cyst is functional or organic?
Aim:
To draw up the epidemiological profile of the patients having a cyst of the ovary, show the peculiarities of this association; and to clarify the therapeutic methods and its effects on the progress of the pregnancy.
Methods:
A retrospective study concerning a period of 5 years and interesting 25 patients.
Results:
The average age of the patients was of 34 years, the average parity was of 2. The discovery of the cyst was in 68% of cases in the first 3 months. On the clinical plan the circumstances of discovery were pelvic pains in 48% of cases and complications in 6% of cases; such us twisting of the cyst. 61% of the patients had a laparoscopy, 44% a laparotomy and a case of guided ultrasound punction, 4% of the patients underwent a pregnancy interruption, 17 pregnancies were led till the end, we noted an intrauterine death of the foetus and a case of late abortion at 22SA.
Conclusion:
problems due to the association of the ovarian cyst and pregnancy are especially of diagnostic and therapeutic order. Obsession was to underestimate a malignant tumour; that's why we should perform a surgical investigation in front of any persevering cyst beyond the first three months of the pregnancy.
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