Isha A. Luniya

Government medical college, Mira, India

Title: Dysfunctional labour secondary to incidental adnexal mass in cesarean section

Abstract

Background: Inspection of the adnexa at caesarean section is common practice and provides opportunity for detection and management of pathology. Ovary tumors related to pregnancy are mostly benign; functional ovarian cysts are the most common type of them. Malignant ovarian neoplasms rarely occur during pregnancy, with an estimated incidence of 8 per 100,000 pregnancies. These tumours can affect conception and if pregnancy occurs, it can lead to fetomaternal compromise. Increased risk of torsion, incarceration, rupture and haemorrhage can occur during pregnancy and vaginal delivery. Dysgerminomas represent a relatively large portion of these cancers diagnosed in pregnancy, although absolute incidence is as low as 0.1 to 1 in 1,00000 pregnancies. When dysgerminomas do occur in pregnancy, the rapidly growing tumors can have a heterogeneous presentation and lead to peripartum complications and morbidity.

Case: A multigravida patient with an uncomplicated antenatal history presented in active stage of labour. She had a prolonged labor course, persistently abnormal cervical examinations, and eventually developed a worsening fetal distress that prompted cesarean delivery. Intraoperatively, a 15 cm pelvic mass later identified as a Stage IA dysgerminoma was discovered along with hemoperitoneum. The mass was successfully resected, and the patient followed up post operatively.

Conclusion: Though standard protocols for management of dysgerminoma with pregnancy exist, yet management of these incidentally diagnosed dysgerminomas remains a dilemma.

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2nd International Conference on Gynecology and Obstetrics

Isha A. Luniya

Title: Dysfunctional labour secondary to incidental adnexal mass in cesarean section

Abstract

Biography

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