Korean J Gynecol Endosc Minim Invasive Surg.  2011 Nov;23(2):99-102.

A large paraovarian cyst torsion in a 73-year-old patient: case report and review of the literature

• Chang KH
• Lee YL
• Choi KJ
• Kang JY
• Park SH

Abstract

Although paraovarian cysts rarely cause symptoms, they may be complicated due to massive size, torsion or internal hemorrhage from rupture. Moreover, benign or malignant neoplasms may occasionally develop in paraovarian cysts. We present a case of a 73-year-old patient who suffered from a twisted large left paraovarian cyst. The patient visited emergency room with a chief complaint of acute abdominal pain. The patient was treated with good result by laparoscopic surgery. The maximum diameter of the mass was 10cm which was twisted 3 1/2 times clockwise. In conclusion, paraovarian cysts, even in elderly patients, can reach large sizes requiring awareness of the possible complications caused by large cyst which could be treated successfully by laparoscopy.

Keyword

Large paraovarian cyst; Torsion; Laparoscopy

MeSH Terms

Abdominal Pain
Aged
Emergencies
Hemorrhage
Humans
Laparoscopy
Rupture