title: Giant Paratubal Cyst in Adolescence: Case Report, Modified Minimal Access Surgical Technique, and Literature Review.
abstract: BACKGROUND
  Giant paratubal cysts are rare lesions that can present management challenges due to their enormous size. We present a modified minimally invasive approach for effective surgical management of giant paratubal cysts.
  
  
  METHODS
  A 19-year-old adolescent with worsening abdominal distention and metrorrhagia was diagnosed with a giant paratubal cyst. A modified, minimally invasive technique designed to limit spillage of cyst fluid was successfully used for surgical management.
  
  
  CONCLUSIONS
  We evacuated 5500 mL of cyst fluid without spillage, and near-complete excision of cyst was performed with preservation of adnexa. Preservation of the adnexa in female adolescents is critical, and minimally invasive approaches should be used where possible.
authors.affiliation: Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: easare@facs.org.
authors.forename: Elliot A
authors.initials: EA
authors.lastname: Asare
authors.affiliation: Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Sarah
authors.initials: S
authors.lastname: Greenberg
authors.affiliation: Department of Pathology, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Sara
authors.initials: S
authors.lastname: Szabo
authors.affiliation: Department of Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Thomas T
authors.initials: TT
authors.lastname: Sato
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008796:Metrorrhagia; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010310:Parovarian Cyst / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Giant paraovarian cyst; Giant paratubal cyst; Minimally invasive approach