Huge Paratubal Cyst: A Case Report and a Literature Review

Tjokroprawiro, Brahmana Askandar

doi:10.1177/11795476211037549

Cited by 7 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, most of these cysts are found incidentally in up to 92% of adult women in hysterectomy specimens or found on ultrasound, and the peak age of diagnosis is between the third and fourth decades [ 6 , 7 ]. They usually range from 1 to 8 cm 5 , and only a few cases of giant paratubal cysts (>20 cm) have been described [ 8 ]. The largest paraovarian cyst has been reported in the literature in 2006 by Letourneur et al which was 36 × 9 × 25 cm [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Giant Paratubal Cyst Mimicking Mesenteric Cyst

Almahmeed

Alshaibani

Alhamad

et al. 2022

Case Reports in Surgery

View full text Add to dashboard Cite

Paratubal cysts are adnexal masses located in the broad ligament; whenever the size of the cyst is >20 cm, it is considered a giant cyst and can present with complications including ovarian torsion and perforation. Diagnosis can be made clinically with the help of radiological investigations, although the gold standard diagnostic tool is diagnostic laparoscopy. Managing this condition relies mainly on surgical intervention (open or laparoscopic). Giant paratubal cysts carry challenges in their surgical excision as they carry a higher risk of spillage. We present a case of giant paratubal cyst in a 26-year-old Bahraini female who presented with abdominal distension and pain for 3 years.

show abstract

Section: Discussionmentioning

confidence: 99%

Giant Paratubal Cyst Mimicking Mesenteric Cyst

Almahmeed

Alshaibani

Alhamad

et al. 2022

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…In approximately two-thirds of the cases, their origin is estimated to be from the mesothelium of the broad ligament, while from paramesonephric or mesonephric remnants it is estimated that it develops in 30% and 2%, respectively [3]. Usually, their size does not exceed 75 mm [4], while in rare cases (13%) the maximum diameter of the cyst can exceed 150 mm [2]. Paraovarian or paratubal cysts account for approximately 5% -20% of all adnexal masses and usually appear during the third to fourth decade of life [3].…”

Section: Introductionmentioning

confidence: 99%

Pueperal Paratubal Cyst Torsion and Secondary Fallopian Tube Torsion Without Ovarian Involvement: A Case Report

Thanasa¹,

Thanasa²,

Xydias³

et al. 2023

Cureus

View full text Add to dashboard Cite

Paratubal cyst torsion accompanied by secondary isolated fallopian tube torsion without involvement of the ipsilateral ovary is rare. A similar case occurring in the postpartum period has not been reported to date in the English literature. Our case report concerns a pregnant multiparous woman in the 40th gestational week, without regular antenatal care attendance, who was urgently admitted to the maternity ward with pushing labour pains and gave birth with vaginal delivery. A few hours later, puerperant complained of worsening severe lower abdominal pain, accompanied by nausea, dizziness and vomiting, unresponsive to analgesic medication. Based on the clinical and ultrasound findings, the diagnosis of an ovarian cyst torsion was established, and it was decided to treat the patient with surgery and in particular with laparotomy. Intraoperatively, in the left parametrium, the presence of an ovoid mass with a brownish-red hue and a smooth outer surface was detected, along which the ipsilateral fallopian tube ran, without the involvement of the ovary. Histological examination of the surgical specimen confirmed the diagnosis of isolated fallopian tubal torsion with paratubal cyst. The postoperative course was uneventful. In this paper, based on modern data, a brief literature review of this rare nosological entity is attempted, regarding the diagnostic and therapeutic approach, the immediate application of which can ensure the best prognosis.

show abstract

“…In particular, 4% of paratubal cysts occur in adolescence ( 4 , 5 ), whereas their prevalence in postmenopausal women seems to be of 6.25% ( 6 ). The mean size of paratubal cysts has been reported to be 75.1 mm ( 7 ). It is not clear when a cyst should be considered “giant”: some authors consider that the size must exceed the threshold of 150 mm ( 8 , 9 ) and just 12.96% of paratubal cysts exceed that size making giant paratubal cysts quite rare ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive management of a giant paratubal cyst in an adolescent female: Case report and review of the literature in the pediatric population

Romeo

Loria²,

Martinelli³

et al. 2022

Front. Pediatr.

View full text Add to dashboard Cite

IntroductionParaovarian or paratubal cysts both define cysts located between the ovary and the fallopian tube. They are usually benign and frequently occur in the third and fourth decade of life. Paratubal cysts are defined as giant when they exceed the threshold of 150 mm.MethodsWe report the case of a 15-year-old girl who complained about diffuse abdominal pain since 2 years that was diagnosed with a 196 mm × 90 mm × 267 mm giant paratubal cyst. We furthermore reviewed all the data published on 13 articles, published between 2006 and 2021, concerning giant paraovarian cyst (POC) in pediatric patients.ResultsThe giant mass of our 15-year-old patient was removed through a fertility-sparing laparoscopic surgery. Histopathological diagnosis of cystadenofibroma was made up, with no cytologic report of neoplastic cells. The incidence of POC in the pediatric and adolescent population attests around 4%. However, only 12.96% of them are defined giant (larger than 15 cm). Indeed, to the best of our knowledge, only 13 cases of giant paratubal cysts have been reported in adolescents. To accomplish diagnosis and differential diagnosis, accurate history and physical examination are mandatory. In all cases reported in the literature, further instrumental analyses were performed, including ultrasound, CT, and/or MRI scan. International Ovarian Tumor Analysis (IOTA) rules have not yet been validated in the pediatric population. Because of the advantages of the laparoscopic procedures, it is often preferred in pediatric population, also to help preserve as much ovarian parenchyma and salpinx if thought possible. The incidence of malignant adnexal masses in the pediatric population is reported to range from 4% to 9%, accounting for 1% of all pediatric cancers.ConclusionGiant paratubal cysts in adolescent females are extremely rare and usually benign. A fertility-sparing laparoscopic surgery should be the preferable option whenever possible. Considering the rarity of these conditions, further investigations are needed to exclude the possibility of a malignant evolution.

show abstract

Huge Paratubal Cyst: A Case Report and a Literature Review

Cited by 7 publications

References 18 publications

Giant Paratubal Cyst Mimicking Mesenteric Cyst

Giant Paratubal Cyst Mimicking Mesenteric Cyst

Pueperal Paratubal Cyst Torsion and Secondary Fallopian Tube Torsion Without Ovarian Involvement: A Case Report

Minimally invasive management of a giant paratubal cyst in an adolescent female: Case report and review of the literature in the pediatric population

Contact Info

Product

Resources

About