XXXX in pregnancy: a therapeutic dilemma.

@entity2941 @entity1 @entity397 @entity532
BACKGROUND: @entity2941 occurring in pregnant @entity1 represent a diagnostic and therapeutic challenge to a broad spectrum of the medical profession. Not only is the association rare, but the clinical signs and symptoms are obscured by physiological changes that occur during pregnancy. As a result, diagnosis is often delayed until @entity1 present with life-threatening complications. STUDY DESIGN: This report describes three cases of @entity2941 occurring during pregnancy. RESULTS: Although the diagnosis was initially missed in two @entity1 , delayed treatment was not associated with an adverse outcome. In a third @entity1 , conservative management was complicated by rupture of the cyst which resulted in fetal loss and a protracted hospital course. Definitive cyst surgery resulted in a good long-term result in all three @entity1 . CONCLUSIONS: Although @entity2941 rarely occur in pregnancy, clinicians need to be aware of the condition, as delayed or inappropriate therapy may be catastrophic for both mother and @entity1 . Once the diagnosis is established, @entity1 should be referred to specialized centers where treatment can be carefully planned, bearing in mind maternal and fetal well-being, as well as the likelihood of @entity532 both in the short- and long-term period. Excision with reconstruction is the procedure of choice to treat this type of cyst in nonpregnant @entity1 . In pregnancy, however, a more conservative approach may have to be adopted until the second trimester or after delivery, when the surgical risk is lowest. Elective cesarean section should be undertaken in @entity1 in whom the cyst has not been decompressed so as to avoid the complication of @entity397 .
