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Archives of Gynecology and Obstetrics

, Volume 285, Issue 6, pp 1563–1569 | Cite as

Clinical diagnosis and complications of paratubal cysts: review of the literature and report of uncommon presentations

  • Mine Kiseli
  • Gamze S. Caglar
  • Sevim Dincer Cengiz
  • Demet Karadag
  • Muserref B. Yılmaz
General Gynecology

Abstract

Introduction

Paraovarian or paratubal cysts (PTCs) constitute about 10 % of adnexial masses. Although they are not uncommon; they rarely cause symptoms and are usually incidentally found. Actual incidence is not known. The symptoms occur when they grow excessively, or in case of hemorrhage, rupture or torsion.

Methods

Here, literature review reporting the incidence, presentation and complications of PTCs is performed. Uncommon presentations of PTCs in three different cases, a giant PTC, torsion of PTC and borderline paratubal tumor, are also reported and discussed.

Results

Ultrasonography, CT or MRI may be performed in preoperative evaluation; but none of these imaging techniques have specific criteria for diagnosis. So, in most cases misdiagnosis as an ovarian mass remains to be a problem.

Conclusion

Paratubal cysts can become extremely big before causing symptoms. Torsion is another urgent issue regarding PTCs, necessiating urgent surgery for preservation of the ovary and the tube. Although malignancy is rare, borderline paratubal tumors have been reported in the literature.

Keywords

Paratubal cyst Paraovarian cyst Adnexial mass Torsion Borderline tumor 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Mine Kiseli
    • 1
  • Gamze S. Caglar
    • 1
  • Sevim Dincer Cengiz
    • 1
  • Demet Karadag
    • 2
  • Muserref B. Yılmaz
    • 1
  1. 1.Department of Obstetrics and Gynecology, Faculty of MedicineUniversity of UfukBalgatTurkey
  2. 2.Department of Radiology, Faculty of MedicineUniversity of UfukBalgatTurkey

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