Elliot A Asare1, Sarah Greenberg2, Sara Szabo3, Thomas T Sato4. 1. Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: easare@facs.org. 2. Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. 3. Department of Pathology, Children's Hospital of Wisconsin, Milwaukee, Wisconsin. 4. Department of Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
Abstract
BACKGROUND: Giant paratubal cysts are rare lesions that can present management challenges due to their enormous size. We present a modified minimally invasive approach for effective surgical management of giant paratubal cysts. CASE: A 19-year-old adolescent with worsening abdominal distention and metrorrhagia was diagnosed with a giant paratubal cyst. A modified, minimally invasive technique designed to limit spillage of cyst fluid was successfully used for surgical management. SUMMARY AND CONCLUSION: We evacuated 5500 mL of cyst fluid without spillage, and near-complete excision of cyst was performed with preservation of adnexa. Preservation of the adnexa in female adolescents is critical, and minimally invasive approaches should be used where possible.
BACKGROUND:Giant paratubal cysts are rare lesions that can present management challenges due to their enormous size. We present a modified minimally invasive approach for effective surgical management of giant paratubal cysts. CASE: A 19-year-old adolescent with worsening abdominal distention and metrorrhagia was diagnosed with a giant paratubal cyst. A modified, minimally invasive technique designed to limit spillage of cyst fluid was successfully used for surgical management. SUMMARY AND CONCLUSION: We evacuated 5500 mL of cyst fluid without spillage, and near-complete excision of cyst was performed with preservation of adnexa. Preservation of the adnexa in female adolescents is critical, and minimally invasive approaches should be used where possible.