Sushruta Multispecialty Hospital & Research Centre, Hubli, Karnataka
In a remarkable and rare case, Dr. Sangeeta Antaratani, Senior Obstetrician and Gynaecologist at Sushruta Multispecialty Hospital & Research Centre, Hubli, successfully performed a laparoscopic surgery on a pregnant woman—without disturbing the ongoing pregnancy.
Case Overview:
A 33-year-old woman presented to our hospital with 3½ months of pregnancy. During a routine antenatal scan, a complex cystic lesion was unexpectedly discovered in her left ovary. This lesion was diagnosed as an endometriotic cyst, commonly referred to as a "chocolate cyst" due to the presence of old, collected blood.
Date: 21/06/2025
Diagnosis: Single live intrauterine pregnancy of 13 weeks with a large left ovarian cyst measuring 12 x 10 cm.
The cyst was not only large but also attached to the uterus and other internal organs, posing a significant surgical challenge and potential risk to the pregnancy.
A Rare Surgical Decision:
Given the size and complexity of the cyst, and its close association with internal structures, a multidisciplinary decision was made to perform laparoscopic surgery — a minimally invasive approach — to remove the cyst along with the affected left ovary, while ensuring the pregnancy remained undisturbed.
This type of surgery during the early second trimester of pregnancy is exceptionally rare and technically demanding due to the anatomical and hormonal changes in the body.
Postoperative Outcome:
Date: 03/07/2025
Follow-up Scan: Single live intrauterine pregnancy of 14 weeks.
The left ovary was not seen, confirming successful removal, and the pregnancy was progressing normally postoperatively.
🌸 Clinical Significance:
This case highlights the expertise of Dr. Sangeeta Antaratani and her team in handling complex gynecological conditions during pregnancy. It also underscores the capabilities of SSushruta Multispecialty Hospital & Research Centre in delivering advanced laparoscopic procedures with a focus on maternal and fetal safety.
The patient recovered well and was discharged with ongoing antenatal follow-up. Both mother and baby were healthy.