Giant Paratubal Cyst in Adolescence: Case Report, Modified Minimal Access Surgical Technique, and Literature Review

Abstract

Background: Giant paratubal cysts are rare lesions that can present management challenges due to their enormous size. We present a modified minimally invasive approach for effective surgical management of giant paratubal cysts.

Case: A 19-year-old adolescent with worsening abdominal distention and metrorrhagia was diagnosed with a giant paratubal cyst. A modified, minimally invasive technique designed to limit spillage of cyst fluid was successfully used for surgical management.

Summary and conclusion: We evacuated 5500 mL of cyst fluid without spillage, and near-complete excision of cyst was performed with preservation of adnexa. Preservation of the adnexa in female adolescents is critical, and minimally invasive approaches should be used where possible.

Keywords: Giant paraovarian cyst; Giant paratubal cyst; Minimally invasive approach.