Twisted Ovarian Mass in Pregnancy

A 20 yr. old patient, referred from Gujarat Cancer Research Institute as a case of 2MA with complex ovarian mass with CA125 520 U/ml with ComplaintsofRight lower abdominal pain and swelling of abdomen for the last 5 days. USG PELVISSLIUF, CRL 13mm = 7wks 3d, Complex right adnexal mass of 13*10 cm size with foci of calcification suggestive of ruptured large dermoid cyst. Patient was taken for Exploratory Laparotomy under spinal anaesthesia. Per opTwisted right adnexal mass, necrotic and oedematous in nature. Biopsy report Mature benign cystic teratoma. Post op Patient was stable, given injectable antibiotics and progesterone support and discharged on 8th postop day after Stich removal with RANC and called for follow up after 15 days. Follow upPatient was healthy follow up USG done suggested appropriate growth. CONCLUSION Twisted ovarian mass is an emergency. It has to be operated as soon as possible. Emergency laparotomy followed by Tumour mass removal was done. Patient was explained about the risk of abortion and informed consent taken. Progesterone support was given to prevent risk of abortion. Dermoid cyst is a benign condition. In emergency it mostly Presents as rupture or twisted mass.