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Giant Paratubal Cyst Mimicking Mesenteric Cyst
Ebrahim Almahmeed1, Abdulaziz Alshaibani2, Hamad Alhamad1
1Department of General Surgery, King Hamad University Hospital, Bahrain.
Case Reports in Surgery
|October 17, 2022
Summary
Giant paratubal cysts, masses over 20 cm in the broad ligament, can cause complications. Surgical excision presents challenges due to potential spillage, as seen in a case of a 26-year-old female.
Area of Science:
- Gynecology
- Surgical Oncology
Background:
- Paratubal cysts are common adnexal masses.
- Giant paratubal cysts (>20 cm) are rare and associated with complications like ovarian torsion.
Observation:
- A 26-year-old female presented with a 3-year history of abdominal distension and pain.
- Clinical and radiological investigations suggested a giant paratubal cyst.
Findings:
- Diagnostic laparoscopy confirmed a giant paratubal cyst.
- Surgical excision was performed, highlighting the challenges of managing large cysts and minimizing spillage.
Implications:
- Giant paratubal cysts require careful surgical planning.
- Laparoscopic approaches may be challenging but feasible for large adnexal masses.
- Early diagnosis and intervention are crucial to prevent complications.
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