title: Successful term delivery following second-trimester excision of a massive hydrosalpinx presenting as an adnexal mass in pregnancy: management and considerations.
abstract: To the best of the authors' knowledge, a massive hydrosalpinx presenting as an adnexal mass complicating pregnancy has never been reported. They report the case of a 26-year-old female diagnosed with a persistent right adnexal cyst in a pregnancy resulting from spontaneous conception, confirmed to be a 30-cm. hydrosalpinx at the time of surgery. Though laparoscopy was envisioned, due to the size of the mass, a right salpingectomy was performed during the second trimester by laparotomy, and the patient had an uncomplicated course of her pregnancy following the intervention, delivering a healthy infant at term. Herein, the authors explore the potential etiologies and different considerations when faced with an adnexal mass in pregnancy. They emphasize that, though rare and uncommon, a hydrosalpinx should be included in the differential diagnosis of persistent adnexal cysts in pregnancy.
authors.forename: E M
authors.initials: EM
authors.lastname: Dahdouh
authors.forename: J
authors.initials: J
authors.lastname: Balayla
authors.forename: R
authors.initials: R
authors.lastname: Gauthier
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D005187:Fallopian Tubes; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007813:Laparotomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis; D058994:Salpingectomy