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Title: Jurnal Medical Aradean (Arad Medical Journal)
Abbreviated title: J. Med. Ar.
Publisher: "Vasile Goldis" University Press
Owner: Western University "Vasile Goldis" Arad, Romania
ISSN: 1224-3744
e-ISSN: 2067-7790

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PATHOPHYSIOLOGY AND ULTRASOUND ASSESSMENT OF OVARIES IN FIRST TRIMESTER OF PREGNANCY PDF Print E-mail

PATHOPHYSIOLOGY AND ULTRASOUND ASSESSMENT OF OVARIES IN FIRST TRIMESTER OF PREGNANCY

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Title: PATHOPHYSIOLOGY AND ULTRASOUND ASSESSMENT OF OVARIES IN FIRST TRIMESTER OF PREGNANCY
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Article_Title: PATHOPHYSIOLOGY AND ULTRASOUND ASSESSMENT OF OVARIES IN FIRST TRIMESTER OF PREGNANCY
Authors: Furau Cristian1,2, Furau Gheorghe1,2, Dascau Voicu1,2, Cristina Onel1,2, Ana Liana Tataru1,2, Dimitriu Mihai3
Affiliation: 1 Western University “Vasile Goldis” of Arad, Romania, Obstetrics and Gynecology Department
2Emergency Clinical County Hospital of Arad, Romania, Obstetrics and Gynecology Department
3”Carol Davila” University of Medicine and Pharmacy Bucharest, Obstetrics and Gynecology Department
Abstract: Ovarian cysts have a very wide reported incidence in literature (0.1-10% of total pregnancies), which is increasing nowadays. We try to assess their incidence in the first trimester of pregnancy in Arad County in the period 2008-2012 and to correlate our findings with possible management options. A total of 1671 patients in their first trimester of pregnancy were evaluated ultrasonographically by obstetricians of the Emergency Clinical County Hospital of Arad, Romania in the period 2008-2012, out of which 1566 corresponded to inclusion criteria. Graph Pad Software and Epi Info 7 were used for statistical analysis. A total number of 313 enlarged ovaries were found (19.99%). Endovaginal ultrasonography was used for 518 cases with reported incidence of 39.96% larger than 3cm ovaries, while for trans-abdominal it was 10.11%. 12.78% of all diagnosed ovarian cysts were surgically treated. Assessment of the ovaries in the first trimester of pregnancy is very important due to high numbers of enlarged ovaries. It represents the key step in early management of ovarian cysts.
Keywords: ovarian cyst, pregnancy, ultrasonography, surgery during pregnancy
References: Munteanu Ioan, Chirurgia endoscopica in ginecologie, Editura Academiei Romane, 2008
Alpa M Nick, Kathleen Schmeler, Adnexal Masses in Pregnancy, Perinatology, Vol 1, No 2, 2012, p13-21
K. Shah, S. Anjurani, V. Ramkumar, P. Bhat, M. Urala: Ovarian Mass In Pregnancy: A Review Of Six Cases Treated With Surgery.The Internet Journal of Gynecology and Obstetrics, Vol 14, Number 2, 2011
Zanetta G, Mariani E, Lissoni A, et al, A prospective study of ultrasound in the management of adnexal masses in pregnancy, BJOG, 110, 2003, p 578-583
Maeda K: Siguranta utilizarii ultrasunetelor in obstetrica. In: Kurjak AK, Chervenak FA, Vladareanu R: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 17-22
Sharma G, Stephen T, Chasen T, Chervenak FA: Utilizarea de rutina a ultrasunetelor in scop diagnostic. In: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 45-63
Kupesic- Plavsic S, Patham Bhargavi, Honemeyer U, Kurjak A: Anatomia ecografica a aparatului genital. In: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 675-683
Mohomed K: Nonmalignant gynecology in James DK, Steer PJ, Weiner CP, et al. High risk pregnancy: Management options, 3rd Edition. Philadelphia, Elsevier Saunders, 2006: 1258-1258
Munkarah AR, Morris RT, Schimp VL: Malignant disease in James DK, Steer PJ, Weiner CP, et al. High risk pregnancy: Management options, 3rd Edition. Philadelphia, Elsevier Saunders, 2006: 1163-1173
Hoffman M, Sayer R, A guide to management: Adnexal masses in pregnancy, OBG Management, vol 19, no3, 2007, p 27-44
Nupur Gupta, VatslaDadhwal, et al, Incidental adnexal masses removed at laparoscopic ligation or caesarean section, Arch GynecolObstet, 281, 2010, p 775-776
Leiserowitz GS, Managing Ovarian Masses During Pregnancy, Obstetrical and Gynecological Survey, vol 61, no7, 2006, p 463-470
Whitecar MP, Turner S, Higby MK. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management.AmJ ObstetGynecol; 181, 1999, p19–24.
Platek DN, Henderson CE, Goldberg GL.The management of a persistent adnexal mass in pregnancy.Am J ObstetGynecol, 173, 1995, p1236-1240
Hoffman M, Sayer R, A guide to management: Adnexal masses in pregnancy, OBG Management, vol 19, no3, 2007, p 27-44
Nupur Gupta, Vatsla Dadhwal, et al, Incidental adnexal masses removed at laparoscopic ligation or caesarean section, Arch GynecolObstet, 281, 2010, p 775-776
Leiserowitz GS, Managing Ovarian Masses During Pregnancy, Obstetrical and Gynecological Survey, vol 61, no7, 2006, p 463-470
Whitecar MP, Turner S, Higby MK. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management.AmJ ObstetGynecol; 181, 1999, p19–24.
Platek DN, Henderson CE, Goldberg GL.The management of a persistent adnexal mass in pregnancy.Am J ObstetGynecol, 173, 1995, p1236-1240
Hermans RHM, Fischer D-C, van der Putten HWHM, et al. Adnexal masses in pregnancy. Onkologie.26, 2003, p167–172.
Agarwal N, Parul, Kriplani A, Bhatla N, Gupta A. Management and outcome of pregnancies complicated with adnexal masses. Arch Gynecol Obstet.;267, 2003, p148–152.
Schmeler KM, Mayo-Smith WW, Peipert JF, Weitzen S, Manuel MD, Gordinier ME., Adnexal masses in pregnancy: surgery compared with observation. Obstet. Gynecol., vol 105, 2005, p1098–1103
Hill LM, Connors-Beatty DJ, Nowak A, Tush B. The role of ultrasonography in the detection and management of adnexal mass during the second and third trimesters of pregnancy.Am J Obstet Gynecol. 179, 1998, p703–707.
Koo YJ, Kim TJ, Lee JE, et al, Risk of torsion and malignancy by adnexal mass size in pregnant women, ActaObstetGynecolScand, vol 90, 2011, p358-361
Nowak M, Szpakowski M, Wilcznyski JR, Ovarian tumours in pregnancy- proposals for diagnosis and treatment, Ginekol Pol, 75, 2004, p242-249
Arteaga-Gomez AC, Aranda-Flores C, Marquez-Acosta, et al, Adnexal tumor and pregnancy: diagnosis and treatment, GinecolObstetMex, vol 78, no 3, 2010, p 160-167
Horowitz NS, Management of adnexal masses in pregnancy, ClinObstetGynecol, vol 54, no 4, 2011, p 519-527
Read_full_article: pdf/vol18/iss3/2 JMA 2015 - Furau - Ultrasound Assessment.pdf
Correspondence: Associate Professor Furău Gheorghe,
No 2, Romei Street, Arad, Arad County, PO: 310057; Tel: + 40 722 483640
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Read full article
Article Title: PATHOPHYSIOLOGY AND ULTRASOUND ASSESSMENT OF OVARIES IN FIRST TRIMESTER OF PREGNANCY
Authors: Furau Cristian1,2, Furau Gheorghe1,2, Dascau Voicu1,2, Cristina Onel1,2, Ana Liana Tataru1,2, Dimitriu Mihai3
Affiliation: 1 Western University “Vasile Goldis” of Arad, Romania, Obstetrics and Gynecology Department
2Emergency Clinical County Hospital of Arad, Romania, Obstetrics and Gynecology Department
3”Carol Davila” University of Medicine and Pharmacy Bucharest, Obstetrics and Gynecology Department
Abstract: Ovarian cysts have a very wide reported incidence in literature (0.1-10% of total pregnancies), which is increasing nowadays. We try to assess their incidence in the first trimester of pregnancy in Arad County in the period 2008-2012 and to correlate our findings with possible management options. A total of 1671 patients in their first trimester of pregnancy were evaluated ultrasonographically by obstetricians of the Emergency Clinical County Hospital of Arad, Romania in the period 2008-2012, out of which 1566 corresponded to inclusion criteria. Graph Pad Software and Epi Info 7 were used for statistical analysis. A total number of 313 enlarged ovaries were found (19.99%). Endovaginal ultrasonography was used for 518 cases with reported incidence of 39.96% larger than 3cm ovaries, while for trans-abdominal it was 10.11%. 12.78% of all diagnosed ovarian cysts were surgically treated. Assessment of the ovaries in the first trimester of pregnancy is very important due to high numbers of enlarged ovaries. It represents the key step in early management of ovarian cysts.
Keywords: ovarian cyst, pregnancy, ultrasonography, surgery during pregnancy
References: Munteanu Ioan, Chirurgia endoscopica in ginecologie, Editura Academiei Romane, 2008
Alpa M Nick, Kathleen Schmeler, Adnexal Masses in Pregnancy, Perinatology, Vol 1, No 2, 2012, p13-21
K. Shah, S. Anjurani, V. Ramkumar, P. Bhat, M. Urala: Ovarian Mass In Pregnancy: A Review Of Six Cases Treated With Surgery.The Internet Journal of Gynecology and Obstetrics, Vol 14, Number 2, 2011
Zanetta G, Mariani E, Lissoni A, et al, A prospective study of ultrasound in the management of adnexal masses in pregnancy, BJOG, 110, 2003, p 578-583
Maeda K: Siguranta utilizarii ultrasunetelor in obstetrica. In: Kurjak AK, Chervenak FA, Vladareanu R: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 17-22
Sharma G, Stephen T, Chasen T, Chervenak FA: Utilizarea de rutina a ultrasunetelor in scop diagnostic. In: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 45-63
Kupesic- Plavsic S, Patham Bhargavi, Honemeyer U, Kurjak A: Anatomia ecografica a aparatului genital. In: Tratat de ultrasonografie in obstetrica si ginecologie, a treia editie. Bucuresti, Editura Medicala Amaltea, 2012, pp 675-683
Mohomed K: Nonmalignant gynecology in James DK, Steer PJ, Weiner CP, et al. High risk pregnancy: Management options, 3rd Edition. Philadelphia, Elsevier Saunders, 2006: 1258-1258
Munkarah AR, Morris RT, Schimp VL: Malignant disease in James DK, Steer PJ, Weiner CP, et al. High risk pregnancy: Management options, 3rd Edition. Philadelphia, Elsevier Saunders, 2006: 1163-1173
Hoffman M, Sayer R, A guide to management: Adnexal masses in pregnancy, OBG Management, vol 19, no3, 2007, p 27-44
Nupur Gupta, VatslaDadhwal, et al, Incidental adnexal masses removed at laparoscopic ligation or caesarean section, Arch GynecolObstet, 281, 2010, p 775-776
Leiserowitz GS, Managing Ovarian Masses During Pregnancy, Obstetrical and Gynecological Survey, vol 61, no7, 2006, p 463-470
Whitecar MP, Turner S, Higby MK. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management.AmJ ObstetGynecol; 181, 1999, p19–24.
Platek DN, Henderson CE, Goldberg GL.The management of a persistent adnexal mass in pregnancy.Am J ObstetGynecol, 173, 1995, p1236-1240
Hoffman M, Sayer R, A guide to management: Adnexal masses in pregnancy, OBG Management, vol 19, no3, 2007, p 27-44
Nupur Gupta, Vatsla Dadhwal, et al, Incidental adnexal masses removed at laparoscopic ligation or caesarean section, Arch GynecolObstet, 281, 2010, p 775-776
Leiserowitz GS, Managing Ovarian Masses During Pregnancy, Obstetrical and Gynecological Survey, vol 61, no7, 2006, p 463-470
Whitecar MP, Turner S, Higby MK. Adnexal masses in pregnancy. A review of 130 cases undergoing surgical management.AmJ ObstetGynecol; 181, 1999, p19–24.
Platek DN, Henderson CE, Goldberg GL.The management of a persistent adnexal mass in pregnancy.Am J ObstetGynecol, 173, 1995, p1236-1240
Hermans RHM, Fischer D-C, van der Putten HWHM, et al. Adnexal masses in pregnancy. Onkologie.26, 2003, p167–172.
Agarwal N, Parul, Kriplani A, Bhatla N, Gupta A. Management and outcome of pregnancies complicated with adnexal masses. Arch Gynecol Obstet.;267, 2003, p148–152.
Schmeler KM, Mayo-Smith WW, Peipert JF, Weitzen S, Manuel MD, Gordinier ME., Adnexal masses in pregnancy: surgery compared with observation. Obstet. Gynecol., vol 105, 2005, p1098–1103
Hill LM, Connors-Beatty DJ, Nowak A, Tush B. The role of ultrasonography in the detection and management of adnexal mass during the second and third trimesters of pregnancy.Am J Obstet Gynecol. 179, 1998, p703–707.
Koo YJ, Kim TJ, Lee JE, et al, Risk of torsion and malignancy by adnexal mass size in pregnant women, ActaObstetGynecolScand, vol 90, 2011, p358-361
Nowak M, Szpakowski M, Wilcznyski JR, Ovarian tumours in pregnancy- proposals for diagnosis and treatment, Ginekol Pol, 75, 2004, p242-249
Arteaga-Gomez AC, Aranda-Flores C, Marquez-Acosta, et al, Adnexal tumor and pregnancy: diagnosis and treatment, GinecolObstetMex, vol 78, no 3, 2010, p 160-167
Horowitz NS, Management of adnexal masses in pregnancy, ClinObstetGynecol, vol 54, no 4, 2011, p 519-527
*Correspondence: Associate Professor Furău Gheorghe,
No 2, Romei Street, Arad, Arad County, PO: 310057; Tel: + 40 722 483640
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it