A CASE SERIES ON NAVIGATING OVARIAN CYSTS DURING PREGNANCY ASSESS THE OUTCOMES

• Ooha Dharani Yalamaddi,  
• Shanthi Ethirajan,*  
• Samya Janarthanam

Abstract

Ovarian cysts are a common incidental finding during pregnancy, often presenting a diagnostic and management challenge due to concerns regarding maternal and fetal outcomes. This case series aims to explore the management strategies and outcomes of ovarian cysts detected during pregnancy. A total of 5 cases were included in the case series. The mean maternal age was 25 years, with cysts predominantly identified in the second trimester. The majority of cysts were simple or functional. Diagnostic ultrasound was the primary modality for cyst characterization. Management strategies varied from expectant management to surgical intervention depending on cyst size, symptoms, and growth patterns. Maternal complications were rare, with 1 case showing ovarian torsion. Fetal outcomes were favorable, for 3 out of 5 cases. This case series highlights the importance of tailored management approaches for ovarian cysts detected during pregnancy. Conservative management is generally safe, with favorable maternal and fetal outcomes observed in most cases. Close surveillance with serial imaging remains crucial to monitor cyst progression and guide clinical decision-making. Further prospective studies are warranted to establish evidence-based guidelines for optimal management of ovarian cysts in pregnant patients.

Keywords

ovarian cysts, outcomes, management, ultrasound, pregnancy