AI Summary & Key Takeaways
AI InsightIn this case, the management of paraovarian cyst which is observed in 20-year- old, nulligravid lady who had applied to emergency service with complaints of vomiting-nausea, eating disorder, as well as abdominal tenderness, was mentioned.
📌 3 Key Takeaways
Abstract
Paraovarian cysts are usually benign-nature lesions that develop from paramesonephric or mesonephric ducts'remnants and are commonly seen at 4th or 5th decades of life. Paraovarian cysts that are seen in adolescent period, have higher potential to be congenital. Gartner cyst is one of them. Together with gartner cysts, metanephric urinary system abnormalities can be observed. Especially, ectopic ureter, ureter duplication or ectopic kidney abnormalities can be seen. That is why, in pre-operative stage, relations of the cyst with other adjacent organs and other additional organ abnormalities which can accompany with, should be evaluated. Also during the operation, in these cases of potential abnormal ureter traces, cyst should be excised by dissecting carefully. In this case, the management of paraovarian cyst which is observed in 20-year- old, nulligravid lady who had applied to emergency service with complaints of vomiting-nausea, eating disorder, as well as abdominal tenderness, was mentioned.
Özet
Paraovaryan kistler, paramezonefrik veya mezonefrik kanal artıklarından gelişen ve çoğunlukla 4. veya 5nci dekatlarda görülen benign natürlü lezyonlardır. Adölasan çağda görülen paraovaryan kistlerin, çoğu zaman konjenital olma olasılığı yüksektir. Gartner kisti bunlardan biridir. Gartner kistlerin beraberinde metanefrik üriner sistem anomalileri izlenebilmektedir. Özellikle, ektopik üreter, üreter duplikasyonu veya ektopik böbrek anomalileri izlenebilir. Bu sebeple, preoperatif dönemde kistin diğer komşu organlarla olan ilişkisi ve eşlik edebilecek ek organ anomalileri açısından değerlendirilmeli, ayrıca operasyon esnasında anormal üreter anatomisi olabileceğinden kist dikkatlice disseke edilerek, eksize edilmelidir. Bu olguda, acil servise bulantı-kusma, iştahsızlık ve karında hassasiyet şikayetleri ile başvuran 20 yaşında, nulligravid hastada mevcut paraovaryan kistin yönetimi sunulmuştur.