Large follicular cyst in pregnancy

Abstract

A large (300mm*200mm*200mm) uniloculated cyst was detected via ultrasound at 20 weeks’ gestation in a 30-year-old woman with a singleton pregnancy. Gradually increasing abdominal distention with associated respiratory embarrassment warranted laparotomy and a cystectomy performed and subsequent pathological examination revealed a large follicular cyst. The pregnancy progressed well and a live male infant birth weight 3200 grams with a good Apgar score delivered vaginally at term. Large cyst are uncommon and thought to be stimulated by human chorionic gonadotropin (hcg) or increased sensitivity to hcg. Surgeries during pregnancy are performed to avoid complications such as torsion, haemorrhage, rupture and on rare occasion danger of malignancy. Literature search on previous cases, report good pregnancy outcomes following surgery as is of this case report.