| Author: Eva Račanská
Description:
20 year old nullipara referred by gynecologist for a persisting cyst of the left ovary. Cyst was first described on the ultrasound examination 8 months ago. Hypothyreosis well controlled by therapy (Euthyrox). Regular menstrual period, contraceptive pills in cursu.
Ultrasound confirmed finding of the anechogenic unilocular cyst 40 by 50 mm located posterior to the uterus, normal left ovary, right ovary was not detected. Cystic formation was palpable during the bimanual transvaginal pelvic examination as well.
Laparoscopy was performed, both ovaries and uterus of normal size and shape.Right uterine tube of normal shape, left uterine tube slightly adheres to the cyst which measures 60 mm in diameter, is located in the pouch of Douglas connected by a thin adhesion to the left ovary. Cyst contained clear liquid and was completely resected. Left uterine tube remained intact. Histology confirmed benign cyst of the tubal and mesotelial epithelium with no signs of malignancy.
Categorization:
Paratubal cyst (Cyst of Morgagni)
Attachments:
Description: Uterus, both round ligaments, right ovary and left paratubal cyst in the pouch of Douglas.
Description: Left ovary with a thin adhesion between ovary and paratubal cyst which is on the right.
Description: Left uterine tube after cyst removal.
Description: Left round ligament, left uterine tube and ovary.