OVARIAN CYSTECTOMY BY LAPAROTOMY IN SECOND TRIMESTER PREGNANT PATIENT WITH DIAGNOSED DVT DURING PREGNANCY

The surgical management of ovarian tumors in pregnancy is similar to that of the non-pregnant women. Most of these tumors are non-malignant and their treatment is often left until after the birth. However, if the tumour is larger than 6 cm in diameter, it is suggested that it is better to operate and remove them during pregnancy, as they may interfere with the birth of the baby. This is a case report on a 34-year-old primigravida who was diagnosed with paraovarian cyst and deep venous thrombosis in the ninth week of gestation. The patient was initially treated with therapeutic values of the low molecular weight heparin. After the control ultrasonographic scan in the fifteenth week of gestation showed deep vein patency of the right leg with no signs of acute venous thrombosis, the patient was prepared for the surgery. Even though laparoscopic surgery during pregnancy has numerous advantages compared to open laparotomy, due to the dimensions of the tumor, it was safer to perform laparatomy. The patient had an uneventful operation and recovery, as well as the subsequent antenatal period.