31 weeks ovarian cyst in baby, what to do. Ive...

Management in pregnancy

• Management in pregnancy depends on the size of the adnexal mass, its sonographic appearance and any associated clinical symptoms
• although the majority of women are likely to be asymptomatic.
• Simple cysts that are less than 5 cm in diameter do not need further evaluation and rescanning is only required if there is a clinical indication, such as pelvic pain.
• The majority of simple cysts resolve spontaneously during the course of pregnancy and women should be reassured as such.
• Cysts that have a complex nature, solid and cystic elements, need further evaluation irrespective of size.
• Further ultrasound assessment should take place at 4-week intervals to determine whether the cyst is becoming larger.
• In the majority of cases, both simple cysts larger than 6 cm and all complex cysts resolve during the course of the pregnancy.
• Adnexal masses that undergo torsion are usually dermoids or cystadenomas.
• If this complication occurs, it does so during the first trimester or in the immediate puerperium (up to 14 days after delivery) and more commonly on the right side. 
• Ovarian dermoids that measure less than 6 cm are unlikely to grow significantly in pregnancy and
• can be managed conservatively as the risk of complications, such as torsion, is thought to be
• low Persistent, simple, unilocular cysts without any solid elements that are larger than 10 cm can be aspirated either transvaginally or abdominally under ultrasound guidance using a fine needle
• (greater than 20 gauge