Retrospective Evaluation of Incidental Adnexal Masses Encountered During Cesarean Section

Abstract

Objective:Incidental adnexal masses can be present during cesarean section and management options differ according to the properties of the mass. The objective of this study was to outline and discuss the clinical features and management of adnexal masses that were encountered during a cesarean section.Method:Records of 7,063 women who had cesarean section between November 2014 and December 2019 in a tertiary center were reviewed retrospectively. Sixty-four women who had an incidental adnexal mass and a pathology report were enrolled to this study.Results:The incidence of adnexal masses that detected at cesarean section was found as 0.9%. The pathologic diagnoses of the masses were as follows: The non-neoplastic group: Paratubal or paraovarian cyst (25 women, 39%), simple serous cyst (7 women, 11%) and corpus luteum cyst (4 women, 8%); the neoplastic group: Mature cystic teratoma (11 women, 17%), mucinous cystadenoma (5 women, 8%) and adenofibroma (3 women, 5%). All the women in the non-neoplastic group had undergone cystectomy. Sixteen of women (72%) in the neoplastic group had undergone cystectomy and 6 of them (28%) had undergone salpingo-oopherectomy. There was no perioperative and postoperative the complication in any of the patients.Conclusion:Surgical intervention in women who had incidental adnexal masses during cesarean section does not increase complication rate.

Keywords

• adnexal disease
• cesarean section
• incidental finding
• pregnancy