Bilateral paramesonephric paraovarian cysts presenting as acute abdomen in a 9- years old girl-A rare presentation

Abstract

Paraovarian cysts are a rare entity, comprising 10–20% of all adnexal masses with very rare malignant potential (2–3%). These lesions are mostly seen in adults and very rarely present in pediatric age group (4%). These cysts mostly arise from mesothelium (68%), paramesonephric duct (30%) and very rare from mesonephric duct (2%). Mostly, these lesions remain asymptomatic until present with complications. Laparoscopy is the best diagnostic and therapeutic option to manage them, especially when these are small in size, difficult to differentiate from other pelvis lesions. Herein, we present a 9- year old girl presenting with acute abdomen owing to right paratubal cyst complicated by torsion and having paramesonephric duct remnant origin.

Keywords

• Bilateral epoophoron cysts
• Children
• Laparoscopy