Abstract
Introduction
Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst.
Objective
To analyse the clinical profile, complications and management of paraovarian cyst.
Materials and Methods
Retrospective analysis of 51 patients with operative diagnosis of paraovarian cyst was carried out at our institution over a 5-year period.
Results
Majority (60.78%) of paraovarian cysts were found in the third and fourth decades, and the mean age of the patients was 31.8 years. 62.74% patients with paraovarian cyst presented with abdominal pain, and the rest were an incidental finding. Ultrasound made a correct diagnosis in 47.05% of patients. Mean size of paraovarian cyst was 7.51 cm. Complications of paraovarian cyst noted in our study are cyst enlargement (79.62%), adnexal torsion (18.51%), haemorrhage (7.4%), rupture (1.85%) and benign tumour (12.96%). 84.31% paraovarian cysts were managed by laparoscopy. Fertility-sparing surgery was done in 57.39% of paraovarian cysts.
Conclusion
Paraovarian cyst should be considered in the differential diagnosis of adnexal mass. The importance of differentiating it from ovarian cyst cannot be overemphasized. Laparoscopic approach and preferably a fertility-sparing surgery should be considered in the management of complications of paraovarian cyst.
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The authors declare that they have no conflict of interest.
Ethical Statement
This study was approved by the institutional ethical committee. Since this study is a retrospective analysis, no ethical issues are involved.
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Dr. Anitha Durairaj is an Assistant professor in the Department of Obstetrics and Gynaecology at Velammal Medical College Hospital and Research Institute, Madurai. She completed her MD in OBG in 2011 from the Institute of Obstetrics and Gynaecology, Madras Medical College, Chennai. She has special interest in teaching, endoscopic surgeries and high-risk obstetrics.
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Durairaj, A., Gandhiraman, K. Complications and Management of Paraovarian Cyst: A Retrospective Analysis. J Obstet Gynecol India 69, 180–184 (2019). https://doi.org/10.1007/s13224-018-1152-2
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DOI: https://doi.org/10.1007/s13224-018-1152-2