LARGE SOLITARY LUTEINIZED FOLLICULAR CYST OF PREGNANCY AND PUERPERIUM IN RUPTURED ECTOPIC PREGNANCY MANAGED LAPAROSCOPICALLY

Abstract Background: Ovarian cysts in pregnancy are encountered in approximately 1 in 100 cases. Of these, most are benign. One such non-neoplastic lesion is Large Solitary Luteinized Follicular Cyst of Pregnancy and Puerperium (LSLFCPP). They are a rare lesion with unknown pathogenesis. They grow rapidly to very large sizes, causing symptoms. They are hormonally inactive. Maternal and fetal outcome is usually unaffected. Objective: we present a case of a Large Solitary Luteinized Follicular Cyst of Pregnancy and Puerperium encountered incidentally during the management of ruptured ectopic pregnancy. A 25 year old G2A1 with 7 weeks 3 days gestational age by dates presented to the emergency department with the chief complaints of sudden onset of pain in the lower abdomen accompanied by nausea and giddiness since 12 hours. What sets our case apart from rest in literature is it’s diagnosis very early in pregnancy. Also, it is, to our knowledge, the only case reported in literature, in an ectopic pregnancy. Conclusion: LSLFCPPis a rare, yet important entity to be kept in mind when evaluating patients with large ovarian cysts in pregnancy. Comprehensive management is the need of the hour, in order to ensure ideal maternal and fetal wellbeing.