title: A voluminous twisted paraovarian cyst in a 74-year-old patient: case report and review of the literature.
abstract: Although paraovarian cysts rarely cause symptoms, they may be complicated due to massive size, torsion or internal haemorrhage from rupture. Moreover, benign or malignant neoplasms may occasionally develop in paraovarian cysts. The risks from voluminous ovarian or paraovarian cysts are due to severe cardiovascular, pulmonary, and circulatory problems including surgical and postoperative complications. We present a case of a 74-year-old patient who suffered from a twisted voluminous right paraovarian cyst. Her preoperative respiratory function required attention. The patient was treated surgically with good results and she showed notable improvement of her respiratory function, postoperatively. The maximum diameter of the mass was 26 cm and its total weight was 5,100 g. In addition, a simple cyst was found in the left ovary with a maximum diameter of 9.5 cm and total weight of 300 g. In conclusion, paraovarian cysts, even in elderly patients, can reach large sizes requiring awareness of the problems that these large masses may cause.
authors.affiliation: Department of Gynaecology, George Gennimatas General State Hospital, Athens, Second District National Health System, Athens, Greece.
authors.forename: M
authors.initials: M
authors.lastname: Varras
authors.forename: Ch
authors.initials: Ch
authors.lastname: Akrivis
authors.forename: D
authors.initials: D
authors.lastname: Polyzos
authors.forename: S
authors.initials: S
authors.lastname: Frakala
authors.forename: Ch
authors.initials: Ch
authors.lastname: Samara
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000368:Aged; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010052:Ovariectomy / Q000379:methods*; D010310:Parovarian Cyst / Q000000981:diagnostic imaging* / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome