Dermoid Cyst in Pregnancy with Avulsed Ovarian Ligament: A Case Report Study

Abstract

We present our experience of an ovarian dermoid cyst during pregnancy. The mass was presented by lower abdominal pain during pregnancy. Ultrasound revealed 62.4 × 31.4 mm left ovarian mass with mild pain that responded to conservative treatment. The course was stationary throughout pregnancy. After delivery, the patient refused any operative intervention because she was lactating. Laparoscopy was done 7 months postpartum revealed twisted ovarian cyst surrounded by adhesions with avulsed ovarian ligament. Adhesolysis followed by ovarian cystectomy was performed. In conclusion, conservative management of ovarian cysts during pregnancy might allow prolongation of pregnancy, however, risks cannot be ruled out in the absence of definite clinical criteria for complications as torsion.