Anitha Durairaj1, Kavitha Gandhiraman1. 1. Department of Obstetrics and Gynaecology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu 625014 India.
Abstract
INTRODUCTION: Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst. OBJECTIVE: To analyse the clinical profile, complications and management of paraovarian cyst. MATERIALS AND METHODS: Retrospective analysis of 51 patients with operative diagnosis of paraovarian cyst was carried out at our institution over a 5-year period. RESULTS: Majority (60.78%) of paraovarian cysts were found in the third and fourth decades, and the mean age of the patients was 31.8 years. 62.74% patients with paraovarian cyst presented with abdominal pain, and the rest were an incidental finding. Ultrasound made a correct diagnosis in 47.05% of patients. Mean size of paraovarian cyst was 7.51 cm. Complications of paraovarian cyst noted in our study are cyst enlargement (79.62%), adnexal torsion (18.51%), haemorrhage (7.4%), rupture (1.85%) and benign tumour (12.96%). 84.31% paraovarian cysts were managed by laparoscopy. Fertility-sparing surgery was done in 57.39% of paraovarian cysts. CONCLUSION: Paraovarian cyst should be considered in the differential diagnosis of adnexal mass. The importance of differentiating it from ovarian cyst cannot be overemphasized. Laparoscopic approach and preferably a fertility-sparing surgery should be considered in the management of complications of paraovarian cyst.
INTRODUCTION: Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst. OBJECTIVE: To analyse the clinical profile, complications and management of paraovarian cyst. MATERIALS AND METHODS: Retrospective analysis of 51 patients with operative diagnosis of paraovarian cyst was carried out at our institution over a 5-year period. RESULTS: Majority (60.78%) of paraovarian cysts were found in the third and fourth decades, and the mean age of the patients was 31.8 years. 62.74% patients with paraovarian cyst presented with abdominal pain, and the rest were an incidental finding. Ultrasound made a correct diagnosis in 47.05% of patients. Mean size of paraovarian cyst was 7.51 cm. Complications of paraovarian cyst noted in our study are cyst enlargement (79.62%), adnexal torsion (18.51%), haemorrhage (7.4%), rupture (1.85%) and benign tumour (12.96%). 84.31% paraovarian cysts were managed by laparoscopy. Fertility-sparing surgery was done in 57.39% of paraovarian cysts. CONCLUSION: Paraovarian cyst should be considered in the differential diagnosis of adnexal mass. The importance of differentiating it from ovarian cyst cannot be overemphasized. Laparoscopic approach and preferably a fertility-sparing surgery should be considered in the management of complications of paraovarian cyst.
Authors: Enyioma Muolokwu; Judith Sanchez; Jennifer L Bercaw; Haleh Sangi-Haghpeykar; Tara Banszek; Mary L Brandt; Jennifer E Dietrich Journal: J Pediatr Surg Date: 2011-11 Impact factor: 2.545
Authors: Enyioma Muolokwu; Judith Sanchez; Jennifer L Bercaw; Haleh Sangi-Haghpeykar; Tara Banszek; Mary L Brandt; Jennifer E Dietrich Journal: J Pediatr Surg Date: 2011-11 Impact factor: 2.545
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