paratubal cyst

Very interesting rare case operated .14 yrs old girl with severe pain abdomen with indigestion and vomiting for d past 15to20 daz .her periods were also over due .MRI pelvis showed a huge ovarian cyst but not mentioned about twist.we took d PT for ot in view of severe pain and vomiting ,suspecting it to be a twisted.pt had shown to many doctors outside but pain was not fully relieved.then I counselled them about surgery. Per operatively 14 yrs old girl with para tubal cyst leading to twisting of same side adnexa over its pedicle five times By Timely intervention could save the tube and ovary both. Dissection in right plane led to minimal blood loss and minimal use of cautery as well ๐Ÿ˜Š Diagnosis paratubal cyst

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