Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 15 , ISSUE 2 ( March-April, 2023 ) > List of Articles


An Interesting Case of an Adnexal Mass Mimicking a Mesenteric Cyst in Pregnancy

Ashwini Sakhalkar, Shreya Kampoowale, Darshana Ajmera

Keywords : Hysterectomy, Leiomyoma, Magnetic resonance imaging, Uterine artery embolization

Citation Information : Sakhalkar A, Kampoowale S, Ajmera D. An Interesting Case of an Adnexal Mass Mimicking a Mesenteric Cyst in Pregnancy. J South Asian Feder Obs Gynae 2023; 15 (2):248-250.

DOI: 10.5005/jp-journals-10006-2209

License: CC BY-NC 4.0

Published Online: 11-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aim: Due to the widespread use of first-trimester screening ultrasound, the incidence of adnexal masses in pregnancy has risen. However, the diagnosis of adnexal masses is not always straightforward and all differentials need a thorough evaluation. Background: Adnexal masses during pregnancy are not uncommon. Large simple ovarian cysts can mimic a mesenteric cyst rarely. Case description: A 21-year-old female with complaints of acute pain in the abdomen, with vomiting and two episodes of fever presented on the 7th day of vaginal delivery. She was diagnosed as having a large mesenteric cyst in the antenatal period, however, on repeat imaging and exploration, it was an adnexal mass with torsion detorsion. Conclusion: This case report highlights the importance of the diagnosis of adnexal masses accurately early during pregnancy and one of the potential challenges faced thereof. Clinical significance: An accurate diagnosis and planned management of the pregnancy with an adnexal mass can lead to favorable maternal and fetal outcomes. All differentials need thorough consideration.

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