Abstract

BRICENO-MORALES, Clara et al. Incidental adnexal tumors in abdominal surgery. rev. colomb. cir. [online]. 2022, vol.37, n.1, pp.129-134.  Epub Mar 21, 2022. ISSN 2011-7582.  https://doi.org/10.30944/20117582.1685.

The possibility of finding a benign or malignant neoplasm of the ovary unexpectedly during abdominal surgery is a reality for all specialists in surgery. Although in many cases it will be a benign lesion, the risk of cancer should not be underestimated, since, for example, the intraoperative rupture of a malignant cystic lesion may well re-stage a patient with ovarian cancer from stage IA to IC, with the consequences that this implies, such as the need for adjuvant chemotherapy and a worse prognosis. On the other hand, in premenopausal women, the risk and implications of unilateral or bilateral oophorectomy should be discussed with the family or the patient (ideally), even if this implies leaving the operating room to obtain consent, or postponing the definitive procedure for a second time. Intraoperative consultation with a gynecologist, whenever possible, should be carried out in order to support the adopted behavior. Knowing the proper management of adnexal masses found incidentally during abdominal surgery is a priority for all general surgeons.

Keywords : ovarian neoplasms; ovarian cysts; Krukenberg tumor; incidental findings; surgical procedures.

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