Giant para tubal cyst in an adolescent girl mimicking a mesenteric cyst

Authors

DOI:

https://doi.org/10.2478/0000-0011

Keywords:

para tubal, fi mbrial cyst management

Abstract

Background. Giant para tubal cysts are rare. Preoperative diagnosis poses a challenge. Choice of surgical approach is determined on the basis of morphologic characteristics of the cyst. Case report. A complicated giant para tubal cyst in a 16-year-old girl is presented. Clinical and radiological fi ndings were elusive. Final diagnosis was made intraoperatively. An open approach was chosen for safe and complete removal of the cyst. Uterus and bilateral adnexa were normal. Discussion. The etiopathogenesis, diagnostic challenges and dilemma in selecting the surgical approach is discussed. Conclusion. Clinical and radiological evaluation in giant para tubal cysts may be confusing. Open approach is preferable in view of complete removal of the cyst without rupture.

References

Dørum A, Blom GP, Ekerhovd E, Granberg S. Prevalence and histologic diagnosis of adnexal cysts in postmenopausal women: an autopsy study. Am J Obstet Gynecol. 2005 Jan;192(1):48-54. doi: 10.1016/j.ajog.2004.07.038.

Fujii T, Kozuma S, Kikuchi A, et al. Parovarian cystadenoma: sonographic features associated with magnetic resonance and histopathologic fi ndings. J Clin Ultrasound. 2004 Mar Apr;32(3):149-53. doi: 10.1002/jcu.20004.

Almahmeed E, Alshaibani A, Alhamad H, Abualsel A. Giant Paratubal Cyst Mimicking Mesenteric Cyst. Case Rep Surg. 2022 Oct 4; 2022:4909614. doi: 10.1155/2022/4909614.

Song MJ, Lee CW, Park EK, et al. Parovarian tumors of borderline malignancy. Eur J Gynaecol Oncol. 2011;32(4):445-7.

Durairaj A, Gandhiraman K. Complications and Management of Paraovarian Cyst: A Retrospective Analysis. J Obstet Gynaecol India. 2019 Apr;69(2):180-184. doi: 10.1007/s13224-018-1152-2.

Asare EA, Greenberg S, Szabo S, Sato TT. Giant Paratubal Cyst in Adolescence: Case Report, Modifi ed Minimal Access Surgical Technique, and Literature Review. J Pediatr Adolesc Gynecol. 2015 Oct;28(5): e143-5. doi: 10.1016/j. jpag.2014.11.002.

Damle LF, Gomez-Lobo V. Giant paraovarian cysts in young adolescents: a report of three cases. J Reprod Med. 2012 Jan-Feb;57(1-2):65-7.

Downloads

Published

21.03.2025

How to Cite

Vagholkar, K. (2025). Giant para tubal cyst in an adolescent girl mimicking a mesenteric cyst. Acta Medica Bulgarica, 52(1), 83-85. https://doi.org/10.2478/0000-0011