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Updated: Mar 13, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[Adolescent with paraovarian cyst. Surgycal treatment]
Joel Higinio Jiménez Y Felipe1, Adela Rascón Alcantar1, Rodolfo Fimbres Franco1
1Servicio de Patología, Hospital Infantil del Estado de Sonora, Hermosillo, Sonora, México.
Background:
Adnexal paraovarian cysts are not frequently seen during teen development, their incidence is around 10% and usually benign.
Clinical Case:
Adolescent female 15 years old with no pathological family and personal history relevant to her current condition. Chief complaint: Six months ago she complained with abdominal pain in meso, hypogastrium and right iliac fossa. Later, she observed an increased volume on her lower quadrant of the abdomen, mostly on her right side. During physical examination an abdominal tumor was palpated. By an abdominal-rectal manouvre, the presence of tumor was confirmed and located in front of the rectum and no implants. Imaging studies confirmed a paraovarian cyst. She underwent on surgical laparatomy and a paraovarian cyst was found. The histological diagnosis was a cystadenoma. The postoperative course was satisfactory.
Discussion:
Epidemiological data and ultrasonographic findings are examined to confirm the diagnosis of paraovarian cyst. The laparoscopic treatment for adnexal problems is described.
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