A 35-year-old woman presents to the GP with a 10-day history of worsening left iliac fossa pain. She is 7 weeks pregnant based on her last menstrual p...

Question

A 35-year-old woman presents to the GP with a 10-day history of worsening left iliac fossa pain. She is 7 weeks pregnant based on her last menstrual period. Transvaginal ultrasound shows a viable intrauterine pregnancy and a 5 cm simple left ovarian cyst. Which is the single most appropriate management of the ovarian cyst?

Accepted Answer

Conservative management with repeat ultrasound at 16 weeks

Answer

Urgent laparoscopic cystectomy

Answer

Refer for aspiration of the cyst under ultrasound guidance

Answer

Prescribe oral contraceptives to suppress the cyst

Answer

Arrange MRI pelvis urgently

uk-drcog MCQ (SBA): Ovarian Cyst in Pregnancy