tailieunhanh - Báo cáo y học: "Ovarian cyst impacted in the pouch of Douglas at 20 weeks’ gestation managed by laparoscopic ovarian cystectomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ovarian cyst impacted in the pouch of Douglas at 20 weeks’ gestation managed by laparoscopic ovarian cystectomy: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Ovarian cyst impacted in the pouch of Douglas at 20 weeks gestation managed by laparoscopic ovarian cystectomy a case report Fawzia Sanaullah and Ashwini K Trehan Address Dewsbury and District Hospital Halifax Road Dewsbury WF13 4HS UK Email FS - fozia_sana@ AKT - Corresponding author Published 12 May 2009 Received 31 July 2007 Journal of Medical Case Reports 2009 3 7257 doi 1752-1947-3-7257 Accepted 23 January 2009 This article is available from http jmedicalcasereports article view 7257 2009 Sanaullah and Trehan licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction The frequency of ovarian cysts in pregnancy is reported to be 1 in 1000 pregnancies. Laparoscopic ovarian cystectomy has been described in the literature as case series but this is the first case where an ovarian cyst at 20 weeks gestation impacted in the pouch of Douglas was managed exclusively by laparoscopy. Case presentation A 31-year-old primigravida woman was diagnosed as having an 11 cm ovarian cyst at 20 weeks gestation. At the 19th week routine ultrasound scan the mass appeared to be cystic with no solid component. She was asymptomatic. In view of the size of the cyst options were discussed with her including laparoscopic ovarian cystectomy which she agreed to. Laparoscopic surgery during pregnancy is reported to be safe and beneficial for pregnant women. At laparoscopy a transvaginal scan was performed to localize the cyst and an ovarian cystectomy was carried out. The patient had an uneventful recovery and subsequent antenatal period. She had a lower segment caesarean section for non-progress of labour when