Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery  2011;23(2):99-102

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

Kylie Hae-jin CHANG 1 ; Young Lan LEE ; Kong Ju CHOI ; Jin Young KANG ; Sung Ho PARK

Affiliations

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Keywords

Large paraovarian cyst; Torsion; Laparoscopy

Country

Republic of Korea

Language

English

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.