Yirmi Haftalık Gebelikte Adneksiyal Kitle Torsiyonu: Olgu Sunumu

Öz

The detection of adnexal masses during pregnancy has increased following routine use of ultrasonography in clinical practice. Adnexal masses complicate %0, 05 of pregnancies and surgical management could cause undesirable complications for mother and fetus, follow up and treatment modalities are still disputed. During follow up period, the spread of malign masses and torsion or rupture of the adnexal masses should be considered. Twenty-four-yearold pregnant woman was operated due to torsion of left adnexal mass. There was a 20x10 cm, thick-walled ovarian cyst showing torsion around its pedicle once. Left oophorectomy was performed. The pathological diagnosis was mucinous cyst-adenoma

Anahtar Kelimeler

• Pregnancy; ovarian mass; torsion

Yirmi Haftalık Gebelikte Adneksiyal Kitle Torsiyonu: Olgu Sunumu

Öz

Gebelikte saptanan adneksiyal kitle oranı ultrasonografinin rutin bir tetkik olmasından sonra artmıştır. Gebeliklerin yaklaşık %0,05’inde adneksiyal kitleler tespit edilmekte ve takip ve tedavi yaklaşımı tartışmalıdır. Çünkü gebelik sırasında yapılacak cerrahi girişimin hem anneye hem de fetüse istenmeyen etkileri olabilirken, takip edilen kitle malign ise yayılım açısından vakit kaybedilebilir, torsiyon veya rüptür gibi komplikasyonlar ile karşılaşılabilinir. Yirmi dört yaşında, 20 haftalık gebeliği sırasında sol adneksiyal kitle torsiyonu ön tanısı ile laparotomi yapılan olguda 20×10 cm çapında, düzgün yüzeyli, kalın cidarlı, kendi etrafında bir kere torsiyone olmuş kistik kitle mevcuttu. Sol ooferektomi yapılan olguda patoloji sonucu sol overde müsinöz kistadenom olarak bulundu

Anahtar Kelimeler

• Gebelik; ovaryan kitle; torsiyon

Kaynakça

1. Hill LM, Conners-Beatty DJ, Nowak A, Trush B. The role of
2. ultrasonography in the detection and management of
3. adnexal masses during the second and third trimester of
4. pregnancy. Am J Obstet Gynecol 1998;179(3 Pt 1):703–7.
5. Schmeler KM, Mayo-Smith WW, Peipert JF, Weitzen
6. S, Manuel MD, Gordinier ME. Adnexal masses in
7. pregnancy: surgery compared with observation. Obstet Gynecol 2005;105(5 Pt 1):1098-103.
8. Whitecar MP, Turner S, Higby MK. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol 1999;181(1):19–24.

9. Sherard GB 3rd, Hodson CA, Williams HJ, Semer DA, Had, HA, Tait DL. Adnexal masses and pregnancy: 12-year experience. Am J Obstet Gynecol 2003;189(2):358-62.
10. Platek DN, Henderson CE, Goldberg GL. Management of a persisitent adnexal mass in pregnancy. Am J Obstet Gynecol 1995;173(4):1236–40.
11. Martin JR, Martin RW, Morrison JC. Surgical diseaes and disorders in pregnancy. In: Pernoll ML (Editor). Current obstetric and gynecologic diagnsis and treatment. 7th Edition, Connecticut: Appleton and Lange, 1991:480–92.
12. Niswander KR, Evans AT (Editors). Manual of obstetrics. In: Leisrowitz GS. Surgicall complications during pregnancy. 5th Edition, Boston: Little Brown and Company, 1996:239– 60.
13. Visser BC, Glascow RE, Mulvihill KK, Mulvihill SJ. Safety and timing of nonobstetric abdominal surgery in pregnancy. Dig Surg 2001;18(5):409–17.
14. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol 2003;108(2):217-22.
15. Türkçüoğlu I, Meydanli MM, Engin-Ustün Y, Ustün Y, Kafkasli A. Evaluation of histopathological features and pregnancy outcomes of pregnancy associated adnexal masses. J Obstet Gynaecol 2009;29(2):107-9.