Case Report on Adnexal Masses in Pregnancy

Introduction -USG is easily available and accessible modality of investigating early pregnancy, its widespread use has led to the detection of incidental adnexal masses more frequently. The majority of ovarian cysts in pregnancy resolve spontaneously. Ovarian cancer is rare in women of child being age. Most of the ovarian masses diagnosed appear to be borderline with a low malignant potential and are complex on USG. Materials& Methods -Here we report about a patient 29 years old female primigravida 8+2 weeks gestation age. Her antenatal USG showed a large mildly thick walled cystic ovarian mass with features more inclined towards malignancy. MRI showed the same result. The CA-125 levels were greater than 5000 raising strong suspicion of malignancy. Result- The patient was managed at our institute and her pregnancy continued till term to be delivered vaginally. Conclusion There are no clear guidelines for management of adnexal masses in pregnancy. Complication like torsion, rupture and imaging findings suggestive of malignancy require surgical intervention in any trimester which is in the best interest of both mother and growing fetus.