Management of adnexal mass in pregnancy: case report and review.

Öz

Adnexal masses during pregnancy which have a wide spectrum treatment from conservative follow -up to complicated surgery have no well established approach algorithm for management. Most of these masses are asymptomatic and thanks to rutin ultrasonography in early pregnancy these lesions can be determined easily. The majority of them are benign and disappear spontaneously as pregnancy grows. But, if the mass persist, it can be challenging for physician and patient in terms of management. For all these reasons, we wanted to review the diagnosis, follow-up and recent treatment options in the light of literature inspired by a case which has reffered to our clinic with the diagnosis of adnexal mass during pregnancy.

Anahtar Kelimeler

• adnexal mass
• pregnancy

Gebelikte adneksiyel kitleye yaklaşım: olgu sunumu ve derleme.

Öz

Konservatif takipten komplike operasyonlara kadar geniş bir spektrumda tedavi gerektiren gebelikteki adneksiyel kitlelere yaklaşımda belirlenmiş bir konsesusu yoktur. Sıklıkla asemptomatik olan bu kitleler erken gebelik döneminde rutin ultrasonografik tarama sayesinde erken dönemde saptanabilmektedir. Büyük çoğunluğu benign olup ilerleyen gebelik haftalarında spontan rezolusyona uğrar ancak persiste eden kitleler hekimi ve hastayı takip ve tedavide zorlayabilir. Bu nedenle biz, ilk antenatal vizitte tesadüfen saptanan ve komplike adneksiyel kitle tanısı ile kliniğimize refere edilen hastamızdan yola çıkarak gebelikteki adneksiyel kitlelerin tanı, takip ve tedavisini literatur verileriyle irdelemek istedik.

Anahtar Kelimeler

• Adneksiyel
• kitle
• gebelik

Kaynakça

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