One paraovarian cyst
was found on the left, and one small cyst in the left fallopian tube.
When the adjacent organ is an ovary, the cyst is also called a paraovarian cyst
. When the size is large, a paratubal cyst may cause acute abdomen due to torsion to the ovary.
Laparoscopy in the diagnosis and management of a complicated paraovarian cyst
. Surg Endosc.
Partial differential diagnosis of adnexal cystic/ solid masses by ultrasound in the nonpregnant patient * Physiologic ovarian cyst/follicle * Other ovarian cysts * Hemorrhagic cyst * Endometrioma * Tubo-ovarian abscess * Pyo/hydrosalpinx * Abdominal abscess * Paraovarian cyst
* Dermoid cyst/Teratoma * Serous/mucinous cystadenoma or CA & other epithelium neoplasms * Fibromas/Thecomas * Ovarian mets * Ovarian torsion * Pedunculated fibroid * Peritoneal inclusion cysts Table 2.
(5.) Okada T, Yoshida H, Matsunaga T, et al: Paraovarian cyst
with torsion in children.J Pediatr Surg 2002; 37(6):937-940
A similar condition of endometriosis and paraovarian cyst
in a rhesus macaque was reported by Green et al.
Incidence of Non-neoplastic Lesions Histological Diagnosis Number Age in Size of of Women Years Cyst in cm Paratubal/ Paraovarian cyst
10 20-30 2-12 Haemorrhagic cyst 5 20-30 8-15 Endometriotic cyst 4 20-30 3-13 Follicular cyst 2 20-35 1.5 &8 Corpus luteal cyst 3 20-30 2-3 Table 3.
of cases Percentage (n=8) Cystectomy 3 37.5% Oophorectomy 2 25% Salpingo-oophorectomy 3 37.5% Table 5: Differential diagnosis of an adnexal mass in pregnancy Varian Non ovarian Benign Ectopic pregnancy Functional cysts Paraovarian cyst
Follicular cysts Leiomyoma Corpus luteum cysts Hydrosalpinx Theca-lutein cysts Tubo-ovarian abscess Luteomas Peritoneal inclusion cyst Hemorrhagic cysts Diverticular abscess Benign cystic teratomas Appendiceal abscess or tumor Serous cystadenomas Fallopian tube cancer Mucinous cystadenomas Pelvic kidney Endometriomas Lymphoma Malignant Epithelial Germ cell Sex cord/stromal Granulosa cell Metastatic Pseudomyxoma peritonei
INTRODUCTION: Paraovarian cyst
arise from the mesothelium and presume to be vestigeal remnant of mullerian and wolffian duct.
DISCUSSION: The clinical presentation in the case reported here can mimic an infected paraovarian cyst
, hydrosalphinx, pyosalphinx, endometrioma, cystic ovarian neoplasm, macrocystic lymphatic malformations, pseudomyxoma peritonii or omental cysts.
Diagnosis of torsion paraovarian cyst
was made and patient was posted for emergency laparotomy.
are benign lesions that arise from wolffian duct remnants and are usually seen along the broad ligament.