Adnexal mass occurring with intrauterine pregnancy: Report of fifty-four patients requiring laparotomy for definitive management

L. W. Hess, A. Peaceman, W. F. O'Brien, C. A. Winkel, D. P. Cruikshank, J. C. Morrison

Research output: Contribution to journalArticlepeer-review

166 Scopus citations

Abstract

Fifty-four cases in which surgical intervention during pregnancy was required for definitive therapy of adnexal masses were reviewed. The calculated incidence of adnexal masses that required surgical intervention during pregnancy in our primary population (patients who were not referred for evaluation of an already identified mass) was one case per 1300 live births. A malignant tumor was found in 5.9% of the pregnant patients who underwent exploratory celiotomy for therapy of an adnexal mass. Those pregnant women who underwent emergency celiotomy because of hemorrhage or torsion as a complication of an adnexal mass spontaneously aborted or underwent premature delivery more frequently than those patients who underwent elective celiotomy for removal of the mass (p < 0.001).On the basis of this review, we recommend that pregnant women with persistent adnexal masses undergo elective extirpation of the mass in the second trimester of pregnancy.

Original languageEnglish (US)
Pages (from-to)1029-1034
Number of pages6
JournalAmerican journal of obstetrics and gynecology
Volume158
Issue number5
DOIs
StatePublished - 1988

Keywords

  • Adnexal mass in pregnancy
  • celiotomy
  • laparotomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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