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Sonographic Differential Diagnosis of Pelvic Masses Complicating Pregnancy
Author(s) -
Woo J.S.K.,
Wan C.W.,
Ghosh A.,
Liang S.T.,
Tang L.C.H.,
Wong V.C.W.
Publication year - 1984
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1984.tb00695.x
Subject(s) - medicine , laparotomy , ectopic pregnancy , radiology , differential diagnosis , dermoid cyst , cyst , pregnancy , leiomyoma , adnexal mass , ovarian cyst , gynecology , surgery , pathology , biology , genetics
The summary of 12 patients who had a pelvic mass diagnosed by sonography during pregnancy was presented. The pelvic patho logies included serous cystadenoma, dermoid cyst, endometriotic cyst of the ovary, cervical and uterine leiomyoma, malignant tumour of the cervix, bicornuate uterus, ectopic kidney and psoas abscess. The value and pitfalls of sonography in the evaluation of these conditions in a pregnant patient were discussed. One patient with uterine leiomyoma was incorrectly diagnosed as a dermoid cyst. In 2 patients where a cystic mass in the Pouch of Douglas was demonstrated by sonography, their presence could not be confirmed during subsequent laparotomy. Pelvic varicocoele was diagnosed in one case and in the other, no significant pelvic pathology was found. All 3 patients had unnecessary laparotomy. It was concluded that while sonography is extremely helpful in identifying and differentiating pelvic masses occurring during pregnancy, the diagnostic pitfalls of the investigation must be fully recognized. Careful correlation with other clinical information is also mandatory before decision on operative intervention.