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Multi septated cyst in pregnancy
My diagnosis: Multi-septated cyst in the left ovary to the left of the uterine fundus. It measures 6.8cmx5.2cmx3.9cm. The septa are thin and there are no solid portions. No bloodflow is demonstrated in the septa. One cystic portion contains low level internal echoes and what appears to be fibrin strands consistant with organising clot.
I'm 20 weeks pregnant and this was picked up on my scan. Can anyone explain what it means. Is it likely to grow or go away by itself. Do I need to worry (anymore than I already am)?
I'm 20 weeks pregnant and this was picked up on my scan. Can anyone explain what it means. Is it likely to grow or go away by itself. Do I need to worry (anymore than I already am)?
Hi Hhutchie, I'd rather not say on here as I'm putting in a formal complaint, but from looking at your profile, not in the same area as you. I've never had complaints about this hospital before, although this is the first time I've experienced surgery there. I think the problem was definitely having surgery on a weekend.
1 week after surgery: My surgery was a success, kept in hospital for 3 days due to bleeding (1 incision not stitched properly!) and bladder complications. I had laparocsopy with 3 incisions and my ovary was saved! Not sure what size the cyst was come the end, they just said large, still waiting for the histology report. No air pains afterwards, quite sore where the cyst was and 2 of my incisions are still painful, I feel absolutely exhausted and can't wait to feel human again! Just a bit of advice to anyone using the NHS, if you get an appointment for surgery on a weekend, refuse it! they're squeezing people in to meet targets, but from my experience I was not well looked after before or after the op and what should of been a quick recovery has been a nightmare which I blame 100% on the lack of care (the head nurse did tell me things would have been different if I hadn't been in at the weekend)!
Thanks to everyone on here for support and advice and good luck to anyone going through the same thing or worse :-)
Thanks to everyone on here for support and advice and good luck to anyone going through the same thing or worse :-)
Sedation sounds good...2 hours to go! Thanks for the tip on platting the hair, I was worrying about my hair, silly i know! Now I'm worried I've got to leave the house in a minute with no make up eeek!
Oh and how am I? Going good thanks. Still sore and walking about like a 90 year old, but things are getting easier. Everything is healing well.
I was showed to my bed on the ward first, got settled in, chatted the surgeon, anestethic doctor, had blood tests done etc. Got some tablets to sedate me because I was freaking out, and slept for a while. Got changed into the gown and stockings, make sure your hair is platted if it is long, no metal in the hair bobble, just in case.
I was then brought down to the theatre in the bed, waited outside for a while in another room (still half asleep). Was asked to move myself from the bed to the theatre table, was wrapped up in a blow up blanket of some sort and then put under with either gas or IV.
Not sure where I woke up the first time, I was back in my bed and possibly in some recovery room. Once awake, I was taken back to the ward. Second time I came around in the high dependency unit.
You will be ok. Ask for something to sedate you, it really helps. You can also get sleeping tablets if you spend one or more nights there. Being in a constant state of panic wont be safe for yourself or the staff.
Once you are there, you adapt quite quickly. Spending time on the ward becomes sort of normal. You know when they get the needles out nearby, the smell of the alchohol wipes give them away..
Good luck, I hope everything goes to plan!
I was then brought down to the theatre in the bed, waited outside for a while in another room (still half asleep). Was asked to move myself from the bed to the theatre table, was wrapped up in a blow up blanket of some sort and then put under with either gas or IV.
Not sure where I woke up the first time, I was back in my bed and possibly in some recovery room. Once awake, I was taken back to the ward. Second time I came around in the high dependency unit.
You will be ok. Ask for something to sedate you, it really helps. You can also get sleeping tablets if you spend one or more nights there. Being in a constant state of panic wont be safe for yourself or the staff.
Once you are there, you adapt quite quickly. Spending time on the ward becomes sort of normal. You know when they get the needles out nearby, the smell of the alchohol wipes give them away..
Good luck, I hope everything goes to plan!
It's nice to hear from someone whose come out the other side. How you feeling?
They're starting off with a laparoscopy, fingers crossed it will stay that way! 36 hours to go, can't believe how scared I am! Whats it like actually going down to the operating theatre, I'm not convinced their gonna be able to get me in, probably gonna make a right show of myself lol!
They're starting off with a laparoscopy, fingers crossed it will stay that way! 36 hours to go, can't believe how scared I am! Whats it like actually going down to the operating theatre, I'm not convinced their gonna be able to get me in, probably gonna make a right show of myself lol!
About time! Only having 4 days to panic is good.. I wish I could say dont worry, my surgery was easier to get through than I expected, but hmm.. dont worry, by far most find it easier than they expected! You will be relieved to have it over with.
Will you be having laparoscopy or laparotomy? I guess it depends what they find? You will probably go over it all on the day of surgery, sign concents etc, plenty of time to ask questions and let the surgeon know you wish to keep bits and pieces where possible. They will most likely not know what is possible until they open you up anyway.
Expect some pain, but the pain control is really good and the pain will be manageable. You should barely feel it lying still in bed. Getting in and out of bed will be sore, but nothing is impossible and things get better.
For me, the bikini cut is more or less numb, getting stitches out didnt bother me at all and I suspect it helps with pain control. The midline is more sore, especially the bit going around and above the belly button, but you wont need to worry about that unless your cyst has grown A LOT.
Remember you wont be allowed to lift children etc when you get home, especially after laparotomy, not sure about laparoscopy. Make sure you find out what limitations you have and call in favours from family and friends if you need it.
Best of luck and keep us posted :-)
Will you be having laparoscopy or laparotomy? I guess it depends what they find? You will probably go over it all on the day of surgery, sign concents etc, plenty of time to ask questions and let the surgeon know you wish to keep bits and pieces where possible. They will most likely not know what is possible until they open you up anyway.
Expect some pain, but the pain control is really good and the pain will be manageable. You should barely feel it lying still in bed. Getting in and out of bed will be sore, but nothing is impossible and things get better.
For me, the bikini cut is more or less numb, getting stitches out didnt bother me at all and I suspect it helps with pain control. The midline is more sore, especially the bit going around and above the belly button, but you wont need to worry about that unless your cyst has grown A LOT.
Remember you wont be allowed to lift children etc when you get home, especially after laparotomy, not sure about laparoscopy. Make sure you find out what limitations you have and call in favours from family and friends if you need it.
Best of luck and keep us posted :-)
Finally after over a year of waiting, I have my surgery date. Did I get my promised 2-3 weeks notice...no, i find out this morning surgery is this Saturday 26th....4 days to organise my work and three kids!
Nothing else to say apart from really really really scared! oh and my appointment letter gave no details of the operation at all, only confirming the date, time and ward....do you think this means they're keeping their options open as to what surgery I will have?
Perhaps its a good thing only having 4 days to panic :-)
Nothing else to say apart from really really really scared! oh and my appointment letter gave no details of the operation at all, only confirming the date, time and ward....do you think this means they're keeping their options open as to what surgery I will have?
Perhaps its a good thing only having 4 days to panic :-)
Thanks for replying both. Don't get me started on my GP! Still waiting for my date, but not as anxious as I was, just want the thing out now!! Good luck to you too !!
Thankfully you went for another scan....I had a similar situation like you, they found a 9 cm dermoid cyst in my first trimester of pregnancy and because it didnt look suspicious he decided to monitor it throughout my pregnancy and keep me on bedrest so it wouldn't twist My ovary or burst. He recommended removing it Postpartum, which I will be going for robotic surgery to remove it. I just don't understand the lackadaisical attitude on your doctors part. Whether it does or does not appear suspicious on ultrasound a cyst that size should be diligently monitored and not forgotten about. The reason they are saying that it might change to an open laporotamy is because it might be too big to remove via laparascope and then there is always the remote possibility they find something, they are just covering themselves in case of worst case scenario. I know surgery is scary but it's always better to get these cysts out of our body, they don't belong there. Good luck :)
You will need to ask the professionals about what medication you can take and what you cant take, and when you are allowed to take it. Im sure they will give you something after surgery anyway..
As for converting laparoscopy to to open surgery.. I think they will do that if they need to take biopsies of various tissue to check for cancer. They will first examine the tissue from the cyst and if they dont like what they see, they will need biopsies. I havent read much about laparoscopy though as I doubt that is an option for me, so you may want to hear from someone else as well.
The thick walls probably isnt a great sign, but your ca-125 is normal and they are happy to start with a laparoscopy, so cheer up and hold on to that thought!
My sympathies for your hospital phobia, I have needle phobia and understand the hyperventilation and anxiety only too well !!
As for converting laparoscopy to to open surgery.. I think they will do that if they need to take biopsies of various tissue to check for cancer. They will first examine the tissue from the cyst and if they dont like what they see, they will need biopsies. I havent read much about laparoscopy though as I doubt that is an option for me, so you may want to hear from someone else as well.
The thick walls probably isnt a great sign, but your ca-125 is normal and they are happy to start with a laparoscopy, so cheer up and hold on to that thought!
My sympathies for your hospital phobia, I have needle phobia and understand the hyperventilation and anxiety only too well !!
My baby is now 7 months old (a 3rd baby boy for me!) They left the cyst alone throughout the pregnancy, although it caused me so much pain! 12 weeks after having the baby I had another scan and was told the cyst was resolving and to go away and forget about it! It didn't feel like it was resolving to me as I was still getting pain. A month later, the pain had been gradually getting worse so I went back to my GP who made me feel like I was making a mountain out of molehill and told me to go away and live with it! Thankfully I managed to get another scan. The sonogropher was shocked I'd been left so long and said the cyst was 8cm and had thick walls. She ordered a ca-125 and said I needed referring to a gynecologist! Thankfully ca-125 test result was 22! at my gynecologist appointment I was told the cyst would need removing before it bursts or twists which would result in emergency surgery! I am now waiting for my date! My question is the gyne said they would start off doing a laparoscopy, but this may have to change to open surgery depending on what they find. Does anyone know for what reasons they would change to open surgery! and the other thing is, I've been prescribed diazapam for anxiety (this is my first operation and first stay in hospital, I even gave birth at home because I'm so terrified of hospitals!) But i forgot to ask, can i take this the night before my surgery. Any advice and reassurance would be greatly appreciated, I'm such a woose!! My GP has been so unsympathetic, but luckily my local nhs hospital has been fantastic, especially when I was practically hyperventilating just for the pre-op!!
It would probably be impossible to guess if the cyst were changing in size since it would be hard to separate the symptoms of a cyst from the symptoms of pregnancy. Try not to worry and let the routine followup exams for the pregnancy monitor everything for you.
Thank you. The professionals aren't very reassuring. One minute I'm told nothing will be done till after I have the baby and another saying that depends on how big it gets. Was hoping for another home birth, but not sure if this is possible now either. Never had an operation or anasetic or stayed in hospital before, so find the whole thing quite daunting. Waiting for a date for another scan in 4 weeks. Is there anyway I'd no myself if it was growing or shrinking.
The doctor should be answering those questions. It does not sound too serious, but it is greater than 5cm, the usual size for surgery. The doctor will probably say to leave it and just monitor it. Pregnancy is supposed to be one of those things good for ovaries and cyst suppression. If it is still there when your due date approaches, one option might be a c-section along with cyst removal, but maybe it will resolve by then. If the doctor considered it serious enough, they sometimes remove cysts during 2nd or 3rd trimesters. But ASK the professionals treating you what they think.
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