1/4. parovarian cyst presenting as a groin hernia. A case report.An inguinal hernia containing a parovarian cyst is extremely rare. This phenomenon occurred in a 77-year-old woman who presented with a right groin hernia. The hernia contained a cystic mass that arose between the leaves of the broad ligament and passed with the round ligament through the deep inguinal ring. Through a midline incision the hernial content was mobilized, reduced through the inguinal ring and removed from the abdomen with both ovaries, tubes and uterus. The mass was found to be a parovarian cyst of the mesothelial type.- - - - - - - - - - ranking = 1keywords = ligament (Clic here for more details about this article) |
2/4. Torsion of parovarian cyst--report of two cases.A parovarian cyst oxiginates from the tissue of the broad ligament, predominantly from mesothelium covering the peritoneum but also from paramesonephric and mesonephric remnants. Clinically, torsion of a parovarian cyst is uncommon, and it is difficult to distinguish it from torsion of other adnexal masses, an ovarian accident, appendicitis, etc. Recently, we experienced two cases of torsion of parovarian cysts. In one case, it was associated with 32 weeks' intrauterine gestation. In this case, pelvic sonography during the first and second trimester showed no cystic lesions. In the other case, a lower abdominal pain continued about two weeks. A sonogram revealed a very small cyst like a follicle. These twisted parovarian cysts were removed at laparotomy. The clinical and pathological features of the torsion of parovarian cysts are briefly discussed and the literature is reviewed.- - - - - - - - - - ranking = 0.5keywords = ligament (Clic here for more details about this article) |
3/4. Sonographic features of parovarian cysts.Parovarian cysts are responsible for about 10% of all adnexal masses. They arise from the tissues of the broad ligament, predominantly from mesothelium covering the peritoneum but also from paramesonephric and mesonephric remnants. When large, they become symptomatic due to pressure effect. Clinically it is difficult to distinguish an ovarian mass from one arising in the parovarium. A series of eight surgically and pathologically proven parovarian cysts is presented. All were symptomatic and most were palpable. Sonographically they were thin-walled, smoothly marginated, unilocular cysts. Six of the eight were located superior to the fundus of the uterus. Parovarian cysts should be included in the differential diagnosis along with large physiologic ovarian cysts and unilocular ovarian cystadenoma when a mass with the above sonographic features is demonstrated.- - - - - - - - - - ranking = 0.5keywords = ligament (Clic here for more details about this article) |
4/4. Papillary tumor of the broad ligament.A 43-year-old woman received a hysterectomy with bilateral adnexectomy for a cystic tumor of the right broad ligament. The tumor, measuring 10 cm in diameter, was apart from the ovaries, oviducts, or uterus. The cyst wall had well-developed smooth muscle layers. Cells lining the cyst were benign-looking, relatively low columnar type, and were compatible with those of mesonephric origin. From the inner surface of the cyst numerous cauliflower-like structures projected into the lumen. These were predominantly papillary architecture covered by epithelial cells with occasional solid or glandular growth. Although structural and cellular atypism may suggest its malignant nature, the validity for frank malignancy of the present tumor could not be gained because of the absence of capsular invasion and metastasis. So, the diagnosis of papillary tumor of borderline malignancy was made. It may be safely assumed that the papillary tumor arose in a preexisting parovarian cyst of mesonephric origin.- - - - - - - - - - ranking = 2.5keywords = ligament (Clic here for more details about this article) |