Open AccessLaparoscopic removal of a 40-cm paratubal cyst in a morbidly obese patient
Author(s) -
Luay Ibrahim Abu Atileh,
Duaa Dahbour,
Hasan Hammo,
Mai Abdullattif
Publication year - 2020
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.4103/gmit.gmit_110_18
Subject(s) - medicine , asymptomatic , mesonephric duct , malignancy , laparoscopy , cyst , surgery , incidence (geometry) , laparoscopic surgery , general surgery , pathology , optics , kidney , physics
Paratubal cysts (PTCs) are remnants of the paramesonephric or the mesonephric ducts that are present during embryogenesis. They are mostly benign; however, malignancy has been described. The incidence of PTCs is estimated to be 5%-20% of all adnexal masses. They can present in any age group but most commonly the third or fourth decades. Huge PTCs exceeding 10-15 cm in diameter are considered rare and challenging, as only a few cases have been reported that describe complete laparoscopic excision. A simple asymptomatic PTC can be managed expectantly; however, surgery is mandatory if the cyst is huge, complicated, or causes severe symptoms. In this article, we describe a laparoscopic removal of a 40-cm PTC in a 32-year- old woman, as the largest PTC in literature that was removed by laparoscopy.