A Retrospective Observational Study on Evaluation of the Adnexal Masses in Hysterectomised Women: A Retrospective Case Series Study

Dr. Prashanta Vijaya Tumbagi, Dr. Spandana J C, Dr. Anju Arpana, Dr. Rekha N

Abstract: Background: Gynaecologists routinely encounter adnexal masses after hysterectomy due to a conflicting approach in managing benign entities. These might present challenges during its diagnosis and treatment. Methods: Patients presenting with abdominal pain and a history of hysterectomy were consecutively enrolled from a single centre, tertiary care teaching hospital in South India. Data regarding clinical features, radiographic findings, surgical management and histopathological aspects were collected. Results: Between January 2023 to January 2025, 12 patients were diagnosed with adnexal masses using ultrasound. Of the 12 patients, 50% were diagnosed with simple cyst and remaining 50% had complex cyst. The most common presenting symptom was abdominal pain for the last 2.5 months, and abnormal uterine bleeding of the leiomyoma type. CA - 125 levels were within normal range and all the patients underwent laparotomy and cystectomy. A follow - up examination at regular interval revealed good recovery and patient outcomes. Conclusion: All adnexal masses following hysterectomy were either ovarian or para - ovarian cysts that can be surgically managed.

Keywords: adnexal masses, hysterectomy, ovarian cyst, Abdominal pain