Pattern of ovarian cyst accidents in a Tertiary Hospital in Niger-Delta, Nigeria: A 4-year retrospective review

Mbooh RT1, Makinde OI1, Ozori ES1*
1Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
*Correspondence: Dr. Ebiogbo S. Ozori; +234 8065876000; E-mail: ozoriniseod@yahoo.com

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Abstract

Background: Ovarian cyst accidents constitute about 3 % to 5 % of gynecological emergencies and can be associated with significant morbidity. An appraisal of ovarian cysts accidents will help optimize patient management.
Objectives: To describe the pattern of presentation of ovarian cyst accidents at the Federal Medical Centre Yenagoa Bayelsa State, Nigeria.
Materials and Methods:  A retrospective review of all cases of emergency laparotomies done for ovarian cyst accidents at the Obstetrics and Gynaecology department of the Federal Medical Centre, Yenagoa was undertaken from 1st July 2015 to 30th June 2019. Data on patient’s socio-demographic characteristics, symptomatology, significant investigation results, findings at laparotomy and histology were extracted. The data were analyzed using IBM SPSS version 25.0. Frequencies and percentages of categorical variables were determined and results presented in tables.
Results: Ovarian cyst accidents accounted for 5.9 % (n=43) of emergency laparotomies (n=729) in the facility during the study period. Patient’s age ranged between 16–45 years with a mean age of 27.5 ± 6.4 years. Majority (30.2 %) of the women were in the 26–30 years age group. Most (69.8 %) of them were multiparous. All presented with lower abdominal pain and over 70% had an abdomino-pelvic mass. About two third (66 %) had the cyst on the right. Mean diameter of cysts was 9.5 ± 4.2 cm. Cystectomy was done in 86.0 %, 14.0 % had ovariectomy and histology showed benign cyst in 100 % of the cases.
Conclusion: All the cases of ovarian cyst accidents occurred in women of reproductive age and were from benign ovarian cysts. Most of the patients were multiparous and ovarian cystectomy was done in most cases.

Keywords: Ovarian cyst, Ovarian cyst accidents, Laparoscopy, Laparotomy, Histology, Reproductive age.

Cite this article: Mbooh RT, Makinde OI, Ozori ES. Pattern of ovarian cyst accidents in a Tertiary Hospital in Niger-Delta, Nigeria: A 4-year retrospective review. Yen Med J. 2021;3(3):183–186.

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