[Management of ovarian cyst associated to pregnancy]

ABSTRACT

The problem of the association of the ovarian cyst and pregnancy is to determine whether the cyst is functional or organic? To draw up the epidemiological profile of the patients having a cyst of the ovary, show the peculiarities of this association; and to clarify the therapeutic methods and its effects on the progress of the pregnancy. A retrospective study concerning a period of 5 years and interesting 25 patients. The average age of the patients was of 34 years, the average parity was of 2. The discovery of the cyst was in 68%of cases in the first 3 months. On the clinical plan the circumstances of discovery were pelvic pains in 48%of cases and complications in 6%of cases ; such us twisting of the cyst.. 61%of the patients had a laparoscopy, 44%a laparotomy and a case of guided ultrasound punction, 4%of the patients underwent a pregnancy interruption, 17 pregnancies were led till the end, we noted an intrauterine death of the foetus and a case of late abortion at 22SA. Problems due to the association of the ovarian cyst and pregnancy are especially of diagnostic and therapeutic order. Obsession was to underestimate a malignant tumour; that's why we should perform a surgical investigation in front of any persevering cyst beyond the first three months of the pregnancy