Transvaginal aspiration of an ovarian tumor with a benign ultrasound appearance during the second trimester of pregnancy

Lee, Dah-Jye; Dm, Heggen; Hl, VanderKolk

doi:10.1002/jcu.1870200210

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…There are several previously described cases of pregnant patients undergoing transvaginal aspiration of simple cysts with benign appearance on ultrasound in the first or second trimester. 3 4 5 6 Needle aspiration has been associated with a high risk of recurrence of the cyst but has short-term advantages as demonstrated in this case. Notably, our case documents the most advanced gestational age reported for such a technique.…”

Section: Commentmentioning

confidence: 74%

“…Several cases of transvaginal and transabdominal aspiration of simple benign-appearing cysts in pregnancy have been described, averting the need for antepartum laparoscopy or laparotomy which has been associated with increased risk of preterm delivery. 3 4 5 6 We present the case of a large adnexal cyst obstructing the pelvic outlet at the time of induction of labor and a minimally invasive two-stage approach that permitted vaginal delivery followed by an interval laparoscopic ovarian cystectomy.…”

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confidence: 99%

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Transvaginal Ovarian Cyst Drainage in Third Trimester to Facilitate Vaginal Delivery

Meljen,

Avram,

Kerner

et al. 2023

AJP Rep

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Adnexal masses in the third trimester of pregnancy may obstruct the pelvic outlet precluding labor induction and vaginal delivery. Expectant versus surgical management of adnexal cysts in pregnancy must carefully weigh maternal-fetal benefits and risks. Simple benign appearing cysts with low likelihood of malignancy may be amenable to percutaneous drainage as a bridge to interval postpartum laparoscopic cystectomy. We demonstrated posterior culdocentesis as a safe, minimally invasive technique to decompress a simple benign appearing left adnexal cyst obstructing the pelvic outlet in the third trimester at time of labor induction to facilitate vaginal delivery and prevent primary cesarean delivery (Figure 2A). Detailed sonographic cyst evaluation and counseling on underlying risk of malignancy must be considered to guide shared decision making.

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