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Laparoscopic Removal of Large Gangrenous Paraovarian Cyst in an Adolescent Girl

Para ovarian cysts arise from the mesothelium lining of remnants of the Müllerian duct and Wolffian duct. They are mostly small and asymptomatic; however, torsion may occur in larger lesions. Case: A seventeen years old girl complained of acute abdominal pain. C.T. scan was arranged which revealed a large adnexal mass 82 × 63 mm. Doppler ultrasound showed absent blood flow to the adnexal mass. Laparoscopy revealed a large right torsion and gangrene in a Para ovarian cyst and right salpingo-oophorectomy was done via laparoscopy. Conclusion: Laparoscopy is preferred over laparotomy in the management of torsion of Para ovarian cysts as it is associated with shorter hospital stay and less patient discomfort. Salpingo-oophorectomy should be reserved to late gangrenous cases.

Author(s): Torky HA*and E-Sayed AA

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