American Research Journal of Medicine and Surgery

Background: Management of anesthesia in patients with ovarian cyst permagna is challenging because it is require careful preparation and have a high risk during the perioperative period. We report anesthetic management perioperatively in a woman,31 years,Gravid 5Para 2Abortus 2 (G5P2A2)with 19-20 weeks of pregnancy with ovarian cyst permagna and slight complaints of abdominal bloating,plan to elective surgery. We highlight the recent guideline for non-obstetric surgery in pregnancy Objective: To report management of anesthesia in a woman with cystoma ovarian permagna Case: A woman 31 years old attending with a growing abdomen experienced since the 19-20 weeks before admission. The patient complained of slight difficulty breathing. Her activity was mild decrease, with a slight difficult to walk.Abdominal circumference is 122 cm. Ultrasound exmination showed a large cystoma with ascites. CT scan of the abdomen showed a large cyst mass with the size of 30.5 x 33 x 55.6 cm with solid components are urging the intestine and minimal intraperitoneal ascites fluid Results: The surgery lasted for 2 hours and 30 minutes, cystoma successfully removed intact ovary weighed 23 kg. Intraoperative bleeding patients about 800 ml, and 1000 ml of urine production. After 32 hours of observation in the intensive care unit, patient was stable haemodynamic parameter, and allowed to be transferred in the ward