title: Recurrent ovarian torsion due to paratubal cysts in an adolescent female.
abstract: BACKGROUND
  Though paratubal and paraovarian cysts are rare in adolescent females, the influence of post-menarchal hormonal stimulation on these tubal derivates can produce large and clinically significant adnexal pathology. Ovarian torsion secondary to paratubal cysts is rare due to the cyst's location and ipsilateral recurrence is uncommon.
  
  
  METHODS
  We report a case of an 11-year-old female with a large right paratubal cyst causing ovarian torsion on two separate occasions within one year and our approach to surgical management.
  
  
  CONCLUSIONS
  Excision of a paratubal or paraovarian cyst that causes ovarian torsion is necessary to decrease the risk of cyst recurrence and ovarian torsion in the future. Timely diagnosis and treatment of ovarian torsion enables preservation of ovarian function and patient fertility.
authors: Department of Gynecology and Obstetrics, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York 14222, USA. sthakore@buffalo.edu
authors: Suruchi S
authors: SS
authors: Thakore
authors: Monica J
authors: MJ
authors: Chun
authors: Kevin
authors: K
authors: Fitzpatrick
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000209:etiology* / Q000601:surgery; D010310:Parovarian Cyst / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D014102:Torsion Abnormality / Q000209:etiology* / Q000601:surgery