Alaoui Fatima Zohra Fdili, El Fatemi Hinde, Chaara Hekmat, Melhouf Molay Abdilah, Amarti Afaf
Department of obstetrics and gynecology II, University Hospital Hassan II Fez, University Sidi Mohamed Ben Abdellah, Morocco.
Pan Afr Med J. 2012;13:53. Epub 2012 Nov 16.
Borderline para-ovarian cysts (PCs) are rare entities. They are commonly present in the third decade. Borderline PCs are often discovered fortuitously on routine ultrasound examination or they are common incidental findings during a laparotomy. They must be differentiated from simple ovarian cysts, peritoneal inclusion cysts and hydrosalpinges on ultrasound sonography. Papillary projections on the cyst wall should be searched carefully to suggest diagnosis. The treatment is surgical including fertility -sparing operation or more radical surgery depending on the case. The prognosis is good because borderline PCs are usually early-stage at diagnosis. Here is a report of a 38- year old woman with a borderline paratubal cyst. Adnexal torsion of hydrosalpinx was suspected; thus, she underwent an urgent surgery. Cystectomy was performed without rupture. The final diagnosis revealed a borderline PC. The patient underwent a radical surgery. Currently, she has had no evidence of disease recurrence.
交界性副卵巢囊肿(PCs)是罕见的疾病。它们通常出现在三十多岁。交界性PCs常在常规超声检查时偶然发现,或者是剖腹手术中常见的意外发现。在超声检查中,必须将它们与单纯性卵巢囊肿、腹膜包涵囊肿和输卵管积水区分开来。应仔细检查囊肿壁上的乳头状突起以辅助诊断。治疗方法为手术,根据具体情况包括保留生育功能的手术或更彻底的手术。预后良好,因为交界性PCs通常在诊断时处于早期阶段。本文报告一例38岁患有交界性输卵管旁囊肿的女性。怀疑输卵管积水发生附件扭转,因此她接受了紧急手术。进行了囊肿切除术且未发生破裂。最终诊断为交界性PC。患者接受了根治性手术。目前,她没有疾病复发的迹象。