To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
A 40-year-old woman, gravida 3, para 3, with last menstrual period two weeks ago presents for evaluation of a palpable pelvic mass. She reports noticing a slow increase in her abdominal distention over the last four months; however, she denies abdominal pain. She denies any bowel or bladder dysfunction. She is sexually active and denies dyspareunia. Her sexual partner has had a vasectomy. She denies a personal history of breast cancer and denies any family history of breast, ovarian, or colon cancer. Her medical history is significant for anxiety. She has no past surgical history. She is currently taking citalopram. She has no know drug allergies.
The presence of an ovarian cyst is traditionally considered to be an indication for operative intervention for fear of ovarian cancer and acute complications of ovarian cysts, such as torsion, rupture and obstruction of labour. Two studies described the prevalence of ovarian cysts in pregnancy before the routine use of ultrasound, when the diagnosis was based on clinical examination of women with symptoms suggestive of an adnexal mass. The vast majority of adnexal cystic masses detected in early pregnancy are functional cysts, such as corpus luteum cysts or follicular cysts. Dermoid cysts or mature cystic teratomas are the most common complex ovarian masses encountered in pregnancy, making up 24-40% of all ovarian tumours. Fimbrial cysts are usually seen on ultrasound examination as thin-walled, anechoic, unilocular adnexal masses. Ultrasound-guided cyst aspiration offers a less invasive alternative to the traditional techniques employed for surgical management of ovarian cysts in pregnancy.
Email your librarian or administrator to recommend adding this to your organisation's collection.