López SR, Ballesteros MA, Togo PJM

Language: Spanish
References: 6
Page: 336-340
PDF size: 485.19 Kb.

ABSTRACT

We report a case of a 21 years old woman, pregnant (14.1 weeks of gestation), and with 24 hours of abdominal pain received at the emergency room. During examination we found gravid uterus and a mass in the right inguinal area and flank, independent from uterus, painful and with no uterine activity. We perform an obstetric ultrasound with this results: 13 weeks pregnancy and right adnexal cystic tumor with 15 X 14 cm. Patient undergo to emergency exploratory laparotomy, with previous application of indomethacin end progesterone. During surgery performance we observe a bilateral adnexal masse, right side affecting the complete ovary (salpingactomized), and left side extirpated leaving functional tissue ovary. Three days after, patient leaves the hospital without any complication. Pathology reports a bilateral mature teratoma.

REFERENCES

1. Agüero O. Cirugía de los tumores y secuelas infecciosas del aparato genital durante el embarazo. Ginecol Obstet Mex 2006;74;84-7.

2. Giuntoli RL, Vang RS, Bristol RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006;49(3):492-505.

3. Tapia M, Orellana R, Cisterna P. Tumores anexiales y embarazo. Rev Chil Obstet Ginecol 2005;70(6);391-4.

4. Alfaro-Rodríguez H, Cejudo-Carranza E. Complicaciones médicas en el embarazo. 2ª ed. México: McGraw-Hill Interamericana, 2004;pp:341-54.

5. Shetty MK, Lamki L. Imaging of pelvis masses during pregnancy. J Wom Imag 2001;3(2):63-68.

6. Gilstrap LC, Cunningham FG, Van-Dorsten JP. Operative obstetrics. 2nd edition. New York: McGraw-Hill, 2002;pp:330-44.