Yirmi Haftalık Gebelikte Adneksiyal Kitle Torsiyonu: Olgu Sunumu

Yıl 2013, Cilt: 14 Sayı: 3, - , 01.12.2013

Ahmet Uysal Semih Mun Cüneyt Eftal Taner Fatma Uysal

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

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