A RARE CASE OF LARGE PARATUBAL CYST - A DIAGNOSTIC DILEMMA

Cysts near the ovary are derived from anomalies of the fallopian tubes or the broad ligament. The paramesonephric types consist of ciliated cells similar to the oviduct epithelium. The mesonephric types consist of an epithelium with minimal surface structures. They can be found on the thin oviduct (paratubal cysts) or near its fimbriated end (hydatid of Morgagni). Small paratubal cysts are frequent incidental findings during gynecological surgery and are often confused with ovarian tumors. Most reported cases of paratubal cysts have occurred in pediatric patients, and this type of cyst rarely causes symptoms of lower abdominal pain mimicking appendicitis. However some of them may attain large size and lead to pain, torsion, and rupture and give a diagnostic dilemma. We present a rare case of paratubal cyst of much larger dimensions than usual presentation.