Abstract:

Aim: In this study; it was aimed at studying the characteristics and pathology results of adnexal masses encountered during the cesarean section in a tertiary hospital.  Material and Method: Operating room and pathology department data for adnexal masses encountered during cesarean delivery between January 2014 and December 2016 were retrospectively reviewed. Clinical features, pathology results, maternal and neonatal outcomes were evaluated.  Results: 17,210 (41% of all deliveries) of 41,672 deliveries were performed with cesarean section and 32 (0.18%) of the adnexal masses requiring surgical intervention during the operation were detected. The average adnexal mass dimension was 6.59 ± 1.31 (5-9 cm). 29 patients (90.6%) underwent cystectomy and 3 (9.4%) patients had oopherectomy. Most of these masses were pathologically simple serous cysts and it was seen that the additional operation did not increase morbidity during the cesarean section. Conclusion: Adnexal masses encountered during the cesarean section should be removed taking the possibility of torsion, rupture and malignancy into consideration and in order to eradicate the risk of additional surgery after the cesarean section. These masses usually have no negative effect in terms of maternal and fetal prognosis.

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