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
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*Correspondence:	Associate Professor Furău Gheorghe, No 2, Romei Street, Arad, Arad County, PO: 310057; Tel: + 40 722 483640 Email: gfurau@gmail.com