Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal.
JNMA J Nepal Med Assoc. 2020 Jul 31;58(227):501-504. doi: 10.31729/jnma.4982.
Paratubal cysts are generally small but there are rare cases of large paratubal cyst and this case is one of them. Here we report a case of a young female with complains of abdominal fullness since 3 months. On examination, a huge mass (25 x 25 cm) extending from symphysis pubis upto xiphisternum was noted. Ultrasongraphy showed a cystic mass of 27 x 27 cm. Intraoperatively, the cyst was paratubal. It was drained with the help of veress needle and laparoscopic cystectomy was done. A large adnexal cyst extending above umbilicus is traditionally managed by laparotomy. But with the advent of laparoscopy, even a huge cyst can be managed by laparoscopy.
副中肾管囊肿通常较小，但也有罕见的大副中肾管囊肿病例，本例就是其中之一。我们在此报告一例年轻女性病例，其主诉为 3 个月来腹胀。体格检查发现耻骨联合上方至剑突下有一巨大肿块（25 x 25 cm）。超声显示 27 x 27 cm 的囊性肿块。术中发现囊肿位于副中肾管。借助 Veress 针引流囊肿，并进行腹腔镜囊肿切除术。传统上，对于直径超过脐部的大型附件囊肿，采用剖腹手术治疗。但随着腹腔镜技术的出现，即使是巨大的囊肿也可以通过腹腔镜进行处理。
