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Informative Article | Medical Science | India | Volume 14 Issue 1, January 2025 | Popularity: 5 / 10

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Twisted Paraovarian Cyst - Case Report and Review of Literature

Dr. Archana Mehta, Dr. Gita, Dr. Vishal Gupta, Dr. Rupam Singh, Dr. Kanika Sharma

Abstract: Torsion of paraovarian cyst is an important cause of acute abdominal pain. Torsion of ovarian mass and isolated torsion of fallopian tube has been reported in literature. However, torsion of paraovarian cyst is rare. A 30 year old woman presented with complaints of intermittent lower abdominal pain. USG Pelvis revealed a well defined thin-walled cystic lesion measuring 87 x 85 x 48mm. MRI Pelvis findings were suggestive of acute haemorrhagic cyst in right adnexa. Patient was taken up for exploratory laparotomy. Per operative findings revealed haemorrhagic right para-ovarian cyst of size 7 x 8cm with 1 ? turns of torsion. Right side fallopian tube was stretched over the para-ovarian cyst. Detorsion of para-ovarian cyst followed by excision of para-ovarian cyst with right salpingectomy done. The patient had an uneventful recovery. Torsion of paraovarian cyst with secondary torsion of fallopian tube is a rare phenomenon and should be considered as a cause of abdominal pain in females of reproductive age group.

Keywords: Para-ovarian cyst, adnexal torsion, acute abdomen, adnexal mass

Edition: Volume 14 Issue 1, January 2025

Pages: 302 - 304

DOI: https://www.doi.org/10.21275/MR25103191509

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