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. 2019 Apr;69(2):180-184.
doi: 10.1007/s13224-018-1152-2. Epub 2018 Jul 10.

Complications and Management of Paraovarian Cyst: A Retrospective Analysis

Anitha Durairaj  1 , Kavitha Gandhiraman  1
Affiliations

Complications and Management of Paraovarian Cyst: A Retrospective Analysis

Anitha Durairaj et al. J Obstet Gynaecol India. 2019 Apr.

Abstract

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

Objective: 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.

Results: 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.

Conclusion: 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.

Keywords: Complications; Laparoscopy; Paraovarian cyst.

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Conflict of interest statement

The authors declare that they have no conflict of interest.This study was approved by the institutional ethical committee. Since this study is a retrospective analysis, no ethical issues are involved.

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