Dev bir paratubal kistin minimal invaziv tedavisi

Year 2023, Volume: 48 Issue: 4, 1433 - 1435, 29.12.2023

Jule Eriç Horasanlı , Ülfet Sena Metin

https://doi.org/10.17826/cumj.1327017

Abstract

Paraovaryan veya paratubal kistler, yumurtalık ve fallop tüpü arasında bulunan kistleri tanımlar. Genellikle iyi huyludurlar ve paratubal kistler 150 mm eşiğini geçtiğinde dev olarak tanımlanır.Büyük kistlerde genellikle eksplorasyon zorluğu nedeni ile açık cerrahi tercih edilmektedir. Vakamızda kist boyutu transabdominal yolla boşaltılarak küçültüldü ve vizüalize edilmesi kolay hale getirildi. Kist kapsülü dekole edilerek üzerindeki tuba sağlam olarak bırakıldı ve fertilite prezervasyonu sağlandı.

Keywords

paratubal kist, kist aspirasyonu, invaziv yöntem

Minimally invasive management of a giant paratubal cyst

Abstract

Paraovarian or paratubal cysts are located between the ovary and the fallopian tube. They are usually benign and paratubal cysts are defined as a giant when they cross the 150 mm threshold. Open surgery is generally preferred in large cysts due to the difficulty of exploration. In our case, the size of the cyst was reduced by evacuating the transabdominal, and it was made easy to visualize. The cyst capsule was detached, the overlying tube was left intact, and fertility preservation was achieved.

Keywords

Giant paratubal cyst, Minimally invasive management, cyst aspiration

References

• Atileh LIA, Dahbour D, Hammo H, Abdullattif M. Laparoscopic removal of a 40-cm paratubal cyst in a morbidly obese patient. Gynecol Minim Invasive Ther. 2020;9:39-41.
• Zvizdic Z, Bukvic M, Murtezic S, Skenderi F, Vranic S. Giant paratubal serous cystadenoma in an adolescent female: case report and literature review. J Pediatr Adolesc Gynecol. 2020;33:438-440.
• Alpendre F, Pedrosa I, Silva R, Batista S, Tapadinhas P. Giant paratubal cyst presenting as adnexal torsion: A case report. Case Rep Womens Health. 2020;27:e00222.
• Liu Y, Fu N, Su J, Wang X, Li X. Rapid enkephalin delivery using exosomes to promote neurons recovery in ischemic stroke by inhibiting neuronal p53/caspase-3. Biomed Res Int. 2019;2019:4273290.
• Durairaj A, Gandhiraman K. Complications and management of paraovarian cyst: a retrospective analysis. J Obstet Gynaecol India. 2019;69:180-4.
• Vecchio R, MacFadyen BV. Laparoscopic common bile duct exploration. Langenbecks Arch Surg. 2002;387:45-54.
• Kiran S, Jabri SS, Razek YA, Devi MN. Non-tender huge abdominal mass in an adolescent: bilateral paraovarian cysts. Sultan Qaboos Univ Med J. 2021;21:e308-11.
• Lee CI, Chiang KJ, Yu MH, Su HY, Chao TK, Wang YC. Rare case of a paratubal cystadenoma with bilateral hydrosalpinges in an infertile woman. Taiwan J Obstet Gynecol. 2014;53:239-40.
• Schallert EK, Abbas PI, Mehollin-Ray AR, Price MC, Dietrich JE, Orth RC. Physiologic ovarian cysts versus other ovarian and adnexal pathologic changes in the preadolescent and adolescent population: US and surgical follow-up. Radiology. 2019;292:172-8.