Cases reported "Parovarian Cyst"

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1/18. Paraovarian cyst with torsion in children.

    Paraovarian cyst is very uncommon in children, and its preoperative diagnosis is difficult. This report describes 2 cases of surgically proven paraovarian cyst with torsion. It is important to be aware of torsion as a complication of paraovarian cyst. ( info)

2/18. A voluminous twisted paraovarian cyst in a 74-year-old patient: case report and review of the literature.

    Although paraovarian cysts rarely cause symptoms, they may be complicated due to massive size, torsion or internal haemorrhage from rupture. Moreover, benign or malignant neoplasms may occasionally develop in paraovarian cysts. The risks from voluminous ovarian or paraovarian cysts are due to severe cardiovascular, pulmonary, and circulatory problems including surgical and postoperative complications. We present a case of a 74-year-old patient who suffered from a twisted voluminous right paraovarian cyst. Her preoperative respiratory function required attention. The patient was treated surgically with good results and she showed notable improvement of her respiratory function, postoperatively. The maximum diameter of the mass was 26 cm and its total weight was 5,100 g. In addition, a simple cyst was found in the left ovary with a maximum diameter of 9.5 cm and total weight of 300 g. In conclusion, paraovarian cysts, even in elderly patients, can reach large sizes requiring awareness of the problems that these large masses may cause. ( info)

3/18. laparoscopy in the diagnosis and management of a complicated paraovarian cyst.

    Paraovarian cysts account for 10% of adnexal masses and are most common in the 3rd and 4th decades of life. They vary from small asymptomatic lesions to larger cysts, which may undergo hemorrhage or torsion. Children are rarely affected, and the diagnosis--particularly if pain presents in the right lower quadrant--may be difficult because the differentials diagnosis is wide. We report the case of a child who presented with a complicated paraovarian cyst. laparoscopy enabled immediate diagnosis and appropriate management. We discuss the role of laparoscopy and the value of the Harmonic Scalpel in the management of these rare cysts. ( info)

4/18. Parovarian cystadenoma: sonographic features associated with magnetic resonance and histopathologic findings.

    Differentiation between malignant and benign parovarian tumors is necessary before any surgery is planned, because the postoperative spread of ovarian cancers is well documented. Both malignant and benign parovarian tumors may contain intracystic projections, so their presence is not a differentiating factor. We describe the cases of 2 patients with parovarian cystadenomas that were evaluated using sonography, MRI, and histopathology in an attempt to begin to identify the sonographic characteristics of such lesions and correlate them with MRI and histopathologic findings. In both cases, sonography revealed a cystic mass that contained multiple small intracystic mural nodules, most of which were associated with the "Chinese hat" artifact. MRI findings confirmed the presence of the cystic masses and the nodules. Histopathologic findings confirmed the diagnosis of serous cystadenoma arising in a parovarian cyst; the intracystic nodules consisted of fibrotic tissue covered with a single layer of epithelium. Thus, the results of all 3 evaluations correlated well. This characteristic sonographic appearance may be useful in making an accurate preoperative diagnosis of parovarian cystadenomas. ( info)

5/18. 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. ( info)

6/18. Paratubal cyst: a case report.

    Paratubal cyst can undergo torsion that can make it difficult to diagnose since tubal cysts mimic ovarian cysts. Most reported cases of paratubal cysts have occurred in pediatric patients, and this type of cyst rarely causes symptoms of lower abdominal pain mimicking appendicitis. We present the case of a 28-year-old female who was taking Carbergoline for hyperprolactinoma associated with a pituitary adenoma who came to the ER at Henry Ford Hospital in Detroit experiencing severe abdominal pain. Her pain was not accompanied by nausea, vomiting or other gastrointestinal symptoms. A transvaginal ultrasound revealed a normal uterus with the right ovary containing a cyst measuring 3 cm. x 2 cm. She was released on analgesics and seen at the clinic at Henry Ford Hospital three days later. She was still experiencing pain and was given antibiotics and Darvocet. When the pain had not subsided 48 hours later, a decision was made to perform diagnostic laparoscopy. Surgery was performed 10 days later and a paratubal cyst was removed that was twisted twice on its pedicle. This case illustrates the fact that torsion of paratubal cyst should be included in the differential diagnosis of adnexal pain. ( info)

7/18. Serous cystadenoma of borderline malignancy arising in a parovarian paramesonephric cyst.

    BACKGROUND: Borderline parovarian tumors are found incidentally at surgery or autopsy. They are extremely rare. The majority have been reported in young women and rarely are they large enough to be clinically significant. CASE: A 53-year-old multiparous female with a symptomatic paraovarian serous borderline cystadenoma is presented. DISCUSSION: The clinical aspects and subsequent management of related cases are discussed. ( info)

8/18. Parovarian cystadenocarcinoma of low malignant potential.

    Malignant parovarian tumors are rare, with only 20 cases previously reported. Only eight of these were cystadenocarcinomas of low malignant potential and only two had both mucinous and serous components. In this article, we report the third case of a parovarian cystadenocarcinoma with both serous and mucinous components--A 26-year-old female who was treated by conservative surgery and later carried a pregnancy to term. prognosis and management of these lesions are discussed. ( info)

9/18. 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. ( info)

10/18. A laparoscopic method for excision of large retroperitoneal paraovarian cysts.

    Large retroperitoneal paraovarian cysts often present in reproductive-age women as an adnexal mass, with the appearance of a simple cyst on ultrasound. This report describes a laparoscopic method for removal of large paraovarian retroperitoneal cysts. Use of this technique permits successful removal of these cysts while avoiding laparotomy. ( info)
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