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. CaglarEmail author
  • Sevim Dincer Cengiz
  • Demet Karadag
  • Muserref B. Yılmaz
General Gynecology



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.


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.


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.


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.


Paratubal cyst Paraovarian cyst Adnexial mass Torsion Borderline tumor 


Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Azzena A, Quintieri F, Salmaso R (1994) A voluminous paraovarian cyst. Case report. Clin Exp Obstet Gynecol 21(4):249–252PubMedGoogle Scholar
  2. 2.
    Barloon TJ, Brown BP, Abu-Yousef MM, Warnock NG (1996) Paraovarian and paratubal cysts: preoperative diagnosis using transabdominal and transvaginal sonography. J Clin Ultrasound 24(3):117–122PubMedCrossRefGoogle Scholar
  3. 3.
    Perlman S, Hertweck P, Fallat ME (2005) Paratubal and tubal abnormalities. Semin Ped Surg 14(2):124–134CrossRefGoogle Scholar
  4. 4.
    Genadry R, Parmley T, Woodrdruff JD (1977) The origin and clinical behavior of the paraovarian tumor. AJOG 129:873–880Google Scholar
  5. 5.
    Pepe F, Panella M, Pepe G et al (1986) Paraovarian tumors. Eur J Gynaecol Oncol 7(3):159–161PubMedGoogle Scholar
  6. 6.
    Muolokwu E, Sanchez J, Bercaw JL, Sangi-Haghpeykar H, Banszek T, Brandt ML, Dietrich JE (2011) The incidence and surgical management of paratubal cysts in a pediatric and adolescent population. J Ped Surg 46(11):2161–2163CrossRefGoogle Scholar
  7. 7.
    Darwish AM, Amin AF, Mohammad SA (2003) Laparoscopic management of paratubal and paraovarian cysts. JSLS 7:101–106PubMedGoogle Scholar
  8. 8.
    Savelli L, Ghi T, De Iaco P, Ceccaroni M, Venturoli S, Cacciatore B (2006) Paraovarian/paratubal cysts: comparison of transvaginal sonographic and pathological findings to establish diagnostic criteria. Ultrasound Obstet Gynecol 28:330–334PubMedCrossRefGoogle Scholar
  9. 9.
    Sokalska A, Timmerman D, Testa AC, Von Holsbeke C, Lissoni AA, Leone FPG, Jurkovic D, Valentin L (2009) Diagnostic accuracy of transvaginal ultrasound examination for assigning a specific diagnosis to adnexal masses. Ultrasound Obstet Gynecol 34:462–470PubMedCrossRefGoogle Scholar
  10. 10.
    Guerriero S, Ajossa S, Piras S, Angiolucci M, Marisa O (2006) Melis G.B. Diagnosis of paraovarian cysts using transvaginal sonography combined with Ca125 determination. Ultrasound Obstet Gynecol 28:856–858PubMedCrossRefGoogle Scholar
  11. 11.
    Kishimoto K, Ito K, Awaya H, Matsunaga N, Outwater EK, Siegelman ES (2002) Paraovarian cyst: MR imaging features. Abdom Imaging 27:685–689PubMedCrossRefGoogle Scholar
  12. 12.
    Letourneur B, Grandjean S, Richard P, Parant O (2006) Management of a giant paraovarian cyst. Gynecol Obstet Fertil 34:239–241PubMedCrossRefGoogle Scholar
  13. 13.
    Kostov M, Mijovic Z, Mihailovic D (2008) Giant paraovarian cyst in a child complicated with torsion. Vajnos Pregl 65(11):843–846CrossRefGoogle Scholar
  14. 14.
    Harris RE, Daly JW, Gibbs CE (1966) The significance of the paraovarian cyst. Virginia Med Month 93:18–21Google Scholar
  15. 15.
    Vlahakis-Miliaras E, Miliaras D, Koutsoumis G, Miliaras S, Spyridakis I, Papadopoulos MS (1998) Paratubal cysts in young females as an incidental finding in laparotomies performed for right lower quadrant abdominal pain. Pediatr Surg Int 13:141–142PubMedCrossRefGoogle Scholar
  16. 16.
    Lineberry TD, Rodriguez H (2000) Isolated torsion of the fallopian tube in an adolescent: a case report. J Pediatr Adolesc Gynecol 13:135–137PubMedCrossRefGoogle Scholar
  17. 17.
    Dietrich JE, Heard MJ, Edwards C (2005) Uteroovarian ligament torsion of the due to a paratubal cyst. J Pediatr Adolesc Gynecol 18:125–127PubMedCrossRefGoogle Scholar
  18. 18.
    Low S-CA, Ong C-L, Lam S-L, Beh S-T (2005) Paratubal cyst complicated by tubo-ovarian torsion: computed tomography features. Australas Rad 49(2):136–139CrossRefGoogle Scholar
  19. 19.
    Smorgick N, Herman A, Schneider D, Halperin R, Pansky M (2009) Paraovarian cysts of neoplastic origin are underreported. JSLS 13(1):22–26PubMedGoogle Scholar
  20. 20.
    Seamon LG, Holt CN, Suarez A, Richardson DL, Carlson MJ, O’Malley DM (2009) Paratubal borderline serous tumors. Gynecol Oncol 113(1):83–85PubMedCrossRefGoogle Scholar
  21. 21.
    Fauvet R, Boccara J, Dufournet C, David-Montefiore E, Poncelet C, Darai E (2004) Restaging surgery for women with borderline ovarian tumors: results of a French multicenter study. Cancer 100(6):1145–1151PubMedCrossRefGoogle Scholar
  22. 22.
    Salamon C, Tornos C, Chi DS (2005) Borderline endometrioid tumor arising in a paratubal cyst: a case report. Gyn Oncol 97(1):263–265CrossRefGoogle Scholar
  23. 23.
    Kumbak B, Celik H, Cobanoglu B, Gurates B (2010) Paratubal borderline tumor incidentally found during cesarean section: case report and review of literaure. Eur J Surg Oncol 36(8):789–791PubMedCrossRefGoogle Scholar
  24. 24.
    Terek MC, Sahin C, Yeniel AO, Ergenoglu M, Zekioglu O (2011) Paratubal borderline tumor diagnosed in the adolescent period: a case report and review of the literature. J Ped Adol Gyn 24(5):115–116CrossRefGoogle Scholar
  25. 25.
    Im HS, Kim JO, Lee SJ, Lee YS, Park EK (2011) Borderline mucinous tumor arising in a paratubal cyst: a case report. Eur J Gynaecol Oncol 32(2):206–207PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Mine Kiseli
    • 1
  • Gamze S. Caglar
    • 1
    Email author
  • 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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