Paratubal cysts may mimic ovarian cysts, and most of them are diagnosed postoperatively. They originate from the mesosalpinx between the ovary and the fallopian tube. Only a few are large, and most paratubal cysts are less than 10 cm. We report a huge paratubal cyst in a 30-year-old woman, whose only preoperative complaint was abdominal distention over 4 months. Conservative surgery was performed with cyst removal while preserving the ovaries and tubes. A paratubal cyst should be included in the differential diagnosis of a large pelvic masses, especially in the reproductive age.
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http://dx.doi.org/10.1177/11795476211037549 | DOI Listing |
Int J Surg Case Rep
December 2024
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
Introduction And Importance: Paratubal cysts are common adnexal lesions that can lead to complications such as torsion, especially during pregnancy, presenting diagnostic challenges due to symptom overlap with acute surgical emergencies. This study details the clinical characteristics and management of paratubal cyst torsion through a case report and literature review.
Case Presentation: A 29-year-old pregnant woman at 28 weeks gestation presented with right iliac fossa pain and nausea.
J Pediatr Adolesc Gynecol
December 2024
Cincinnati Children's Hospital Medical Center, Department of Surgery, Division of Pediatric and Adolescent Gynecology, Cincinnati, OH; University of Cincinnati College of Medicine, Department of Obstetrics and Gynecology, Cincinnati, OH. Electronic address:
Background: Premenopausal females with signs of androgen excess and oligomenorrhea are commonly evaluated for polycystic ovarian syndrome (PCOS) or for an androgen-secreting tumor if a pelvic mass is present. Ovarian hyperthecosis (OHT) as a cause of these symptoms in adolescents is rare.
Case: A 15-year-old female with primary amenorrhea and signs of virilization was referred to Pediatric and Adolescent Gynecology after pelvic imaging demonstrated a pelvic mass, suspected to be arising from the right ovary, and an adjacent paratubal cyst.
J Pediatr Adolesc Gynecol
October 2024
Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Cureus
August 2024
Obstetrics and Gynecology, St. Vincent's Medical Center, Jacksonville, USA.
Heterotopic pregnancy involves the coexistence of both an intrauterine and an extrauterine pregnancy occurring simultaneously. The spontaneous incidence of heterotopic pregnancy in the general population has been estimated to be 1/30,000. This report discusses the case of a 37-year-old female who presented to the emergency department with vaginal bleeding and lower abdominal pain.
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August 2024
Department of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Adnexal torsion during pregnancy is rare and is complicated by ambiguous symptoms and often nonspecific imaging findings. Differential diagnoses of torsion include a ruptured ovarian cyst, tubo-ovarian abscess, and appendicitis. A low threshold for the recommended surgical laparoscopy is necessary to avoid delayed diagnosis and fetal or maternal complications.
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