DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20160981

Torsion of paratubal cyst - a rare cause of acute abdominal pain in an adolescent: case report and review of literature

Renuka Malik, Sonal Gupta

Abstract


Twisted paraovarian cyst is rare. However, it should be kept as differential diagnosis in any case presenting with pain abdomen. We report a case of a young girl who presented in our OPD with abdominal pain and had twisted paratubal cyst whose torsion had let to spontaneous fimbrial amputation and was managed laparoscopically. 16 years old girl presented in Gynaecology OPD with acute lower abdominal pain with vomiting. Ultrasound done showed a paraovarian cyst on left, 10x7 cm with normal bilateral ovaries. A laparoscopy was done which showed a large gangrenous cyst on left with detached fimbria over it, bilateral ovaries were normal. Laparoscopic cystectomy was done and cyst removed through 10 mm port. Though benign in nature, rarely paraovarian cyst can undergo torsion causing acute pain and can rarely compromise fertility.

Keywords


Paratubal cyst, Paraovarian cyst, Torsion, Acute abdomen

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References


Dotters-Katz SK, James AH, Jaffe TA. Paratubal/Paraovarian Masses: A Study of Surgical and Non-Surgical Outcomes. Med J Obstet Gynecol. 2014;2(1):1019.

Riddle N. Fallopian tubes. Pathology Outlines.com, 24 July 2013.

Chauhan S, Blacker C. Paratubal cyst: a case report. W V Med J. 2005;101(4):176.

Puri M, Jain K, Negi R. Torsion of para-ovarian cyst: a cause of acute abdomen. Indian J Med Sci. 2003;57:361.

Dani A, Gandi SR. Torsion of paraovarian cyst resulting in secondary torsion of ovary. J Evol Med Dent Sci. 2015;4(28):4901-3.

Salmon C, Tornos C, Chi DS. Borderline endometrioid tumor arising in a paratubal cyst: a case report. Gynecol Oncol. 2005;97(1):263-5.

Letourneur B, Grandjean S, Richard P, Parant O. Management of a giant paraovarian cyst. Gynecol Obstet Ferti. 2006;134:239-41.

Leanza V, Coco L, Pafumi C, Ciotta L. Laparoscopic removal of a giant paratubal cyst complicated by hydronephrosis. G Chir. 2013;34:323-5.

Kiseli M, Caglar GS, Cengiz SD, Karadag D, Yılmaz MB. Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations. Arch Gynecol Obstet. 2012;285(1):2304-8.

Muolokwu E, Sanchez J, Bercaw JL, Sangi-Haghpeykar H, Banszek T, Brandt ML. The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. J Ped Surg. 2011;46(11):2161-3.

Savelli L, Ghi T, De Iaco P, Ceccaroni M, Venturoli S, Cacciatore B. Paraovarian/paratubal cysts: comparison of transvaginal sonographic and pathological findings to establish diagnostic criteria. Ultrasound Obstet Gynecol. 2006;28:330-4.

American college of obstetricians and gynecologists. ACOG Practice Bulletin. Management of adnexal masses. Obstet Gynecol. 2007;110(1):201-14.

Smorgick N, Herman A, Schneider D, Halperin R, Pansky M. Paraovarian cysts of neoplastic origin are underreported. J Soc Laparoendoscopic Surg. 2009;13(1):22-6.