Bilateral huge fimbrial cysts with torsion of right fallopian tube

Rijal, Pappu; Pokharel, Hanoon P; Chhetri, Sujan Singh; Pradhan, T.

doi:10.3126/hren.v10i2.6588

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Therefore, to confirm the diagnosis exploratory laparotomy as a part of surgical intervention and diagnosis was performed along with histopathological investigations that confirmed the existence of fimbrial end cysts on both sides. As stated by a previous study, POCs may occur in patients who have bilateral tubal ligation [4] which was found to be congruous with the present case, as the obstetric history reported by the patient described tubal ligation which can be considered as a cause of POCs. Therefore, while determining the differential diagnosis of acute abdomen in women, POCs must be considered [4].…”

Section: Discussionsupporting

confidence: 91%

“…As stated by a previous study, POCs may occur in patients who have bilateral tubal ligation [4] which was found to be congruous with the present case, as the obstetric history reported by the patient described tubal ligation which can be considered as a cause of POCs. Therefore, while determining the differential diagnosis of acute abdomen in women, POCs must be considered [4].…”

Section: Discussionsupporting

confidence: 91%

“…A paratubal cyst is a closed sac filled with fluid that develops next to the fallopian tube and ovary, but it is never connected to them [ 4 ]. It is often unilateral and benign, and it is situated at the ligament that connects the uterus and the ovary [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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A Cystic Surprise: Unearthing Fimbrial Cysts as an Uncommon Source of Abdominal Pain

Choudhary,

Kose

2023

Cureus

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Fimbrial cysts also known as paraovarian cysts are small and asymptomatic and are occasionally large resulting in pelvic pain. It is difficult to differentiate a fimbrial cyst from an ovarian cyst by imaging; therefore, they are often recognized intra-operatively during laparotomy. This report presents a rare case of a 48-year-old female who presented with the primary complaints of persistent right lower abdominal pain that was intermittently radiating to the back for one year. Clinical findings reported the possibility of twisted right hydrosalpinx but the tumor biomarkers were found to be within the normal range. In addition to this, ultrasound sonography (USG) and magnetic resonance imaging (MRI) revealed a pelvic mass that was indicative of cystic lesions. As the above-mentioned diagnosis was found to be challenging, exploratory laparotomy as a part of surgical intervention and diagnosis was performed along with histopathological investigations that confirmed the existence of fimbrial end cysts on both sides. Fimbrial end cysts represent a rare yet significant cause of abdominal pain; therefore, early recognition, thorough clinical evaluation, and appropriate diagnostic workup are essential for timely intervention and preventing potential complications associated with fimbrial end cysts.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

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A Cystic Surprise: Unearthing Fimbrial Cysts as an Uncommon Source of Abdominal Pain

Choudhary,

Kose

2023

Cureus

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“…They are reported more often in adults. [12][13][14] The current case presented with bilateral paraovarian cysts, one of them fitting the definition of a giant cyst. An initial presenting symptom was excessive vaginal bleeding which could have been due to an immature hypothalamo-pituitary-ovarian axis since no uterine or endocrinological cause could be identified.…”

Section: Discussionmentioning

confidence: 99%

Non-Tender Huge Abdominal Mass in an Adolescent

Kiran

Jabri

Razek

et al. 2021

Sultan Qaboos Univ Med J

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Paraovarian cysts constitute about 10% of all adnexal masses in females and occur most commonly in the third and fourth decades of life. These cysts are benign and usually uncommon in adolescence. Such cysts pose a diagnostic challenge while distinguishing them from ovarian cysts clinically and during radiological investigations. We report a rare case of a 13-year-old female patient with bilateral paraovarian cysts, including a giant cyst in right mesosalpinx presenting to Sohar hospital, Oman in 2018. The definitive origin of the huge mass on the right side of abdominal cavity could not be established in the current case despite contrast enhanced computerized tomography. It was only on laparoscopic exploration that this mass was identified as a giant paraovarian cyst. Both the giant cyst and a smaller paraovarian cyst on the left side were enucleated with minimally invasive surgery while preserving the fertility of the patient. Only one other similar case of bilateral paraovarian cysts in an adolescent, including a giant cyst managed with laparoscopy, has been documented previously. Keywords: Adolescent; Parovarian Cyst; Laparoscopy; Ultrasonography; Minimally Invasive Surgical Procedures; Case Report; Oman.

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“…Majority have been reported in young women. 2 Most of patients are asymptomatic. Symptoms are because of pressure effects of huge cyst, rupture or torsion, lower abdominal pain, discomfort, abdominal distension and menstrual irregularities.…”

Section: Discussionmentioning

confidence: 99%

Huge fimbrial cyst causing bilateral hydroureteronephrosis - a rare case report

Waghmare¹,

Yadav²,

Shinde³

2018

OBGYN

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Small fimbrial cysts are most commonly seen, sometimes become larger and presents with symptoms. Here we presents a case of huge fimbrial cyst detected incidentally in a 20 year nulligravida came to out patient department with abdominal distention. Examination and imaging revealed large abdominopelvic cystic mass with no solid areas or septations. Minilaparotomy done, right fimbrial cyst was evident, cyst wall removed intoto. Histopathology confirmed fimbrial origin. Paraovarian cyst should be included in the differential diagnosis of a cystic mass visualized on ultrasound.

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Bilateral huge fimbrial cysts with torsion of right fallopian tube

Cited by 5 publications

References 8 publications

A Cystic Surprise: Unearthing Fimbrial Cysts as an Uncommon Source of Abdominal Pain

A Cystic Surprise: Unearthing Fimbrial Cysts as an Uncommon Source of Abdominal Pain

Non-Tender Huge Abdominal Mass in an Adolescent

Huge fimbrial cyst causing bilateral hydroureteronephrosis - a rare case report

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