A study of incidental adnexal masses during caesarean section and its management

Abstract

Objectives: The aims of the study were to observe the incidental adnexal masses and its management during caesarian section. Methods: A retrospective study conducted in Department of Obstetrics and Gynecology, ESIMC PGI MSR Bangalore, Karnataka. Data collected from forty pregnant women during caesarean section and incidentally found adnexal mass and its management. Result: Out of 40 women, 15 were primigravida, 25 were multigravida. Study results shows presence of clear cyst in 11 women, fimbrial cysts in 11 women, mucinous cystadenoma in 6, serouscyst adenoma in 3, corpus luteal cyst in 5, hemorrhagic cyst in 2, dermoid in 1, paraovarian cyst in 1, hydatid cyst of morgagni in 1. Conservative approach was followed for 26 women, while cystectomy was performed in 10 women; fluid aspiration was done in 4 women. Conclusion: Adnexal masses, which arise in pregnancy, are mostly functional and asymptomatic and resolve spontaneously. Surgical management of adnexal masses during caesarean section should be considered in some cases to avoid later surgery for this incidental pathology.