IMR Press / CEOG / Volume 42 / Issue 5 / DOI: 10.12891/ceog1969.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Successful term delivery following second-trimester excision of a massive hydrosalpinx presenting as an adnexal mass in pregnancy: management and considerations
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1 Department of Obstetrics and Gynecology, CHU Sainte Justine, University of Montreal, Montreal
2 Procrea Clinics, Montreal
3 ART-PDG Centre, CHU Sainte Justine, University of Montreal, Montreal (Canada)
Clin. Exp. Obstet. Gynecol. 2015, 42(5), 688–689; https://doi.org/10.12891/ceog1969.2015
Published: 10 October 2015
Abstract

To the best of the authors’ knowledge, a massive hydrosalpinx presenting as an adnexal mass complicating pregnancy has never been reported. They report the case of a 26-year-old female diagnosed with a persistent right adnexal cyst in a pregnancy resulting from spontaneous conception, confirmed to be a 30-cm. hydrosalpinx at the time of surgery. Though laparoscopy was envisioned, due to the size of the mass, a right salpingectomy was performed during the second trimester by laparotomy, and the patient had an uncomplicated course of her pregnancy following the intervention, delivering a healthy infant at term. Herein, the authors explore the potential etiologies and different considerations when faced with an adnexal mass in pregnancy. They emphasize that, though rare and uncommon, a hydrosalpinx should be included in the differential diagnosis of persistent adnexal cysts in pregnancy.
Keywords
Adnexal mass in pregnancy
Persistent ovarian cyst
Hydrosalpinx
Laparoscopy
Surgery in pregnancy
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