Complications and Management of Paraovarian Cyst: A Retrospective Analysis

  • Anitha DurairajEmail author
  • Kavitha Gandhiraman
Original Article



Despite their relative frequency, paraovarian cyst received only scant attention. Clinician should be aware of the complications of paraovarian cyst.


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.


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.


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.


Paraovarian cyst Complications Laparoscopy 


Compliance with Ethical Standards

Conflict of interest

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.


  1. 1.
    Kiseli M, Caglar GS, Cengiz SD, et al. Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations. Arch Gynecol Obstet. 2012;285(6):1563–9.CrossRefGoogle Scholar
  2. 2.
    Gupta A, Gupta P, Manaktala U, et al. Clinical, radiological and histopathological analysis of paraovarian cysts. J Midlife Health. 2016;7(2):78–82.Google Scholar
  3. 3.
    Bosnalı O, Moralıoğlu S, Cerrah-Celayir A. Occurrence of paratubal cysts in childhood: an analysis of 26 cases. Turk J Pediatr. 2016;58(3):266–70.CrossRefGoogle Scholar
  4. 4.
    Muolokwu E, Sanchez J, Bercaw JL, et al. Paratubal cysts, obesity, and hyperandrogenism. J Pediatr Surg. 2011;46(11):2164–7.CrossRefGoogle Scholar
  5. 5.
    Dietrich JE, Adeyemi O, Hakim J, et al. Paratubal cyst size correlates with obesity and dysregulation of the Wnt signaling pathway. J Pediatr Adolesc Gynecol. 2017;30(5):571–7.CrossRefGoogle Scholar
  6. 6.
    Sokalska A, Timmerman D, Testa AC, et al. Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol. 2009;34(4):462–70.CrossRefGoogle Scholar
  7. 7.
    Valsky DV, Esh-Broder E, Cohen SM, et al. Added value of the gray-scale whirlpool sign in the diagnosis of adnexal torsion. Ultrasound Obstet Gynecol. 2010;36(5):630–4.CrossRefGoogle Scholar
  8. 8.
    Sasaki KJ, Miller CE. Adnexal torsion: review of the literature. J Minim Invasive Gynecol. 2014;21(2):196–202.CrossRefGoogle Scholar
  9. 9.
    De Sanctis V, Soliman AT, Elsedfy H, et al. An adolescent with an asymptomatic adnexal cyst: to worry or not to worry? Medical versus surgical management options. Acta Biomed. 2017;88(2):232–6.Google Scholar
  10. 10.
    Muolokwu E, Sanchez J, Bercaw JL, et al. The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. J Pediatr Surg. 2011;46(11):2161–3.CrossRefGoogle Scholar
  11. 11.
    Agarwal P, Agarwal P, Bagdi R, et al. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience. J Indian Assoc Pediatr Surg. 2014;19(2):65–9.CrossRefGoogle Scholar
  12. 12.
    Smorgick N, Herman A, Schneider D, et al. Paraovarian cysts of neoplastic origin are underreported. JSLS. 2009;13(1):22–6.Google Scholar
  13. 13.
    Ryu KJ, Kim IS, Bae HS, et al. Paratubal cancer found at the time of laparoscopic surgery for adnexal torsion: a case report and literature review. Eur J Gynaecol Oncol. 2014;35(6):741–4.Google Scholar
  14. 14.
    Lee S, Ahn KH, Park HT, et al. Paratubal borderline malignancy: a case of a 17-year-old adolescent female treated with laparo-endoscopic single-site surgery and a review of the literature. J Pediatr Adolesc Gynecol. 2016;29(1):74–6.CrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyVelammal Medical College Hospital and Research InstituteMaduraiIndia

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