Paraovarial cyst during pregnancy
Last reviewed: 23.04.2024
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Paraovarian ovarian cyst during pregnancy is dangerous in that, with incorrect medical supervision or due to a diagnostic error, it can be complicated by such threatening conditions for a pregnant woman as: torsion of the cyst's legs, rupture of the cystic cavity, suppuration leading to the development of an acute abdomen.
It occurs at any age and can lead to deformation of the fallopian tube. This type of cyst differs rather slow growth and is not prone to malignancy.
[Causes of parovarial cyst during pregnancy
The reason for the development of parovarial cysts during pregnancy is the improper development of the tubules of the appendages due to poor ecology or the mother's use of drugs, stress. Because of this, a cavity is formed in the appendages - a parovarial cyst, internally covered with a flat epithelium and containing a liquid with a large amount of mucinous substance. Blood supply to the cysts is provided by the vessels of the uterine tube and the walls of the cyst. Also very rarely the paraovarian cyst arises from the violation of hormonal regulation at any age from the hypothalamus and thyroid gland.
Its development can accelerate the techniques of a warm bath, long exposure to the sun, abuse of tanning beds, abortions, chronic inflammations of the uterine appendages, diseases of the endocrine organs, especially thyroid glands (thyrotoxicosis, hypothyroidism), STDs.
Paraovarial cyst during pregnancy occurs as a cavity formation from the epididymis.
Often for the first time the cyst is found at a young age. They are provoked by the growth of endocrine diseases and early sexual development.
Symptoms of a parovarial cyst during pregnancy
The walls of the cyst are thin, inactive, such cysts do not manifest themselves in any way until they twist or break. Inside the cyst is filled with a clear liquid. All complications begin with constipation and urination disorders, sometimes the abdomen increases. Then there are aching pains in the lower abdomen, giving back to the waist, spotting bloody vaginal discharge, abnormal bleeding, which is very frightening to pregnant women, but in fact they are not a sign of the threat of interruption, but a symptom of a parovarial ovarian cyst.
Asymptomatic small parovarial cyst during pregnancy treatment does not require. If it is found during pregnancy and does not bother, it is observed. If she is uncomfortable, after the birth, an operation is performed to remove it during laparoscopy. The birth is cautious, trying not to change the pose sharply.
Complications of a paraovarian cyst during pregnancy
A ruptured cyst is always accompanied by nausea, vomiting, high fever, bleeding. The skin becomes pale, tachycardia and arrhythmia, tenderness in palpation, retention of gases and stools, frequent urination, diarrhea.
When torsion cysts can vomit vessels and necrosis. Further, a shock develops from severe pain that does not lend itself to relief with pain medication. A woman can perish. Most often, the displacement of cysts and torsion are in sports and intensive housework.
Suppuration of the parovarial cyst occurs due to the spread of the infectious process into the cavity of the cystic formation. Symptoms of this complication are manifested by signs of general intoxication, lower abdominal pains and the appearance of peritonitis symptoms.
Paraovarial cyst on the left side of pregnancy
Paraovarial cyst on the left side of pregnancy is located in the ligaments, between the ovaries and the uterus, on the one hand. It causes pain in the lower abdomen on the left, as it can stretch during pregnancy. Doctors recommend removing paraovarian cysts at the stage of pregnancy planning. Large cysts during pregnancy can be twisted and ruptured. If the cyst found during pregnancy is more than 6 cm, with cloudy contents, inflamed, it is recommended to remove it.
Methods of cyst treatment, except for surgery, no. The risk of recurrence of the cyst is zero. She also never degenerates into cancer.
Women with parovarial cysts are on dispensary records. But the doctors calmed down: there is no direct adverse effect on the course of pregnancy on the parovarial cyst. It is important not to allow its complications. With a small size cyst, you can reach a pregnancy, but it is better to remove a large cyst in the middle of pregnancy, when anesthesia does not have such fatal effects on the fetus, as in the early stages of pregnancy.
Paravirial cyst on the right side of pregnancy
Paravirial cyst on the right side of pregnancy is found in 5% of women. If you have found a parovarial cyst, refrain from sunbathing and visiting the solarium. In case of intensive growth, for 4 months of pregnancy the cyst can be removed without causing harm to the child. The pains in the lower abdomen and right lower back are direct indications for removal of the cyst with the help of laparoscopic surgery. After it there are no traces, it does not require general anesthesia, if there was no rupture of the cyst and the flow of its contents into the abdominal cavity.
If you are diagnosed with a "paraovarian cyst," sharp turns and jumps should be avoided.
Diagnosis of parovarial cyst during pregnancy
Paraovarial cyst during pregnancy is detected on ultrasound or gynecological examination in the chair. Usually the parovarial cyst is found only on one side. Very rarely, both ovaries are affected.
There are cases of self-resolution of small parovarial cysts, but they are very rare.
Sometimes it happens that the paraovarian cyst can be confused with a tumor by an unskilled uuzyst.
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Treatment of parovarial cyst during pregnancy
In most cases, the treatment of parovarial cysts is carried out with the help of laparoscopic surgery. Laparoscopy - a gentle operation, an incision is made above the pubis. 90% of operations in gynecology are performed laparoscopically, by inserting micro-tools through tiny incisions: sterilization by pipetting, removal of the ovary, polyps, uterus, restoring the patency of the tubes, treatment of endometriosis, etc. The surgical field is being processed, and the doctor makes several incisions of no more than 7 mm. The abdominal cavity is filled with carbon dioxide, and the anterior abdominal wall rises above the internal organs, facilitating access. The image is displayed on the screen. Using thermal and laser coagulators reduces blood loss. A short period of rehabilitation and skin without scars, less pronounced pain syndrome, a significant decrease in the likelihood of adhesions, minimal disturbances in the blood supply of tissues are the undeniable advantages of laparoscopic technique in comparison with open access. If the operation is done in the afternoon, in the evening the woman already walks alone. The working capacity is restored after 2 weeks.
Next to the parovarial cyst, there is a uterine tube, it adjoins it almost closely. Therefore, it is important not to injure it. Damage to the uterine tube leads to infertility. Therefore, laparoscopic access is preferable. After such an operation it is always possible to achieve full recovery and there is no relapse. The blood supply of the tube and the ovary is not damaged, so you can safely become pregnant again.
If the operation is done "in the old fashion", through the abdominal incision with a scalpel, in the postoperative period complications in the form of bleeding are possible. Given your "interesting situation", doctors can keep you in hospital for a long time after a cystic surgery to remove the cyst. After laparoscopy, they usually take out for 3 days. Instruments during laparoscopic interventions are inserted together with a video camera.
More information of the treatment
Prevention of parovarial cyst during pregnancy
Paraovarial cyst during pregnancy can not be prevented - it is formed in the womb of the mother. But here to find out already available cyst can only gynecological examination in the chair or ultrasound.
It should be noted that in order to avoid complications and prevent surgical intervention, a parovarial cyst during pregnancy requires dynamic observation.