The management of a persistent XXXX in pregnancy.

@entity1 @entity2208 @entity43 @entity397 @entity4134 @entity44
OBJECTIVE: Our purpose was to evaluate the pathologic features and outcome of pregnancy complicated by a persistent @entity4134 that was managed conservatively or with surgical intervention. STUDY DESIGN: A review was performed of @entity1 who were seen with an @entity4134 in pregnancy from January 1988 to June 1994. We included @entity1 with simple or complex masses > or = 6 cm that were persistent on ultrasonographic evaluation. We excluded cysts that spontaneously resolved by 16 weeks' gestation and those diagnosed after delivery. RESULTS: Thirty-one @entity1 of 43,372 deliveries were identified with persistent @entity4134 that met the above criteria. Nineteen (59%) of these @entity1 had operative intervention, whereas 12 (41%) were managed conservatively. Of the @entity1 who had surgery, nine had functional cysts, six had mature cystic @entity44 , and four had other benign cysts. Complications within 12 hours of surgery included one @entity2208 and one @entity1 with @entity397 of membranes. Twelve @entity1 were managed nonsurgically. Seven @entity1 had conservative management, whereas five @entity1 had percutaneous drainage of simple cysts (negative results on cytologic study) that were symptomatic. CONCLUSIONS: Although the incidence of @entity43 in pregnancy is low, the incidental finding of an @entity4134 in pregnancy is becoming more common. Because complications of abdominal surgery are increased in pregnancy, surgical management of this prenatal complication needs to be reconsidered. Our data support a randomized clinical study to determine optimal management of an @entity4134 in pregnancy.
