Abstract

Dermoid cysts are considered the most common ovarian cysts in adolescents and pregnant women. In rare cases, they can attain a huge size. Paratubal cysts are also common in adolescents. They are usually simple cysts present in the broad ligament. In this case, we report a giant dermoid cyst with ipsilateral paratubal serous cystadenoma discovered during pregnancy of a 20-year-old primigravida. Both cysts were managed conservatively, and then removed successfully at the time of cesarean section by cystectomy.

Highlights

  • Ovarian cysts during pregnancy are fairly common, most of them spontaneously disappear during followup.[1]

  • Adnexal masses discovered during pregnancy should be carefully evaluated in order to choose the proper line of management and to prevent the occurrence of complications

  • The levels of tumor markers like CA125 and βhCG play a limited role in diagnosis as they are usually raised in pregnancy

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Summary

Introduction

Ovarian cysts during pregnancy are fairly common, most of them spontaneously disappear during followup.[1]. Dermoid cysts are the most common ovarian cysts in adolescents.[5] In most women, they remain asymptomatic and are discovered accidentally on ultrasound scan.[6] Giant dermoid cysts have been infrequently reported in the literature. They are much more likely to cause complications such as torsion and rupture.[7]. A rare case of giant dermoid cyst with ipsilateral paratubal cystadenoma during pregnancy. We present a case of unilateral giant dermoid cyst with an ipsilateral paratubal cystadenoma encountered during the third trimester of pregnancy and removed successfully during cesarean section (CS)

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