Torsion of Right Paratubal Cyst Discovered During Appendectomy about an Observation at Conakry University Hospital: A Case Report and Review of the Literature

Barry TI¹, Diakité SY^2*, Sow Z¹, Diallo AA¹, Koundouno AM³, Bah IK⁴, Touré A⁵, Diallo AT⁵, Diallo B^1
1Department of Visceral Surgery, Donka National Hospital, Guinea.
²Department of Visceral Surgery, Conakry Enta Nord Regional Hospital, Guinea.
³Department of Surgery, Kankan Regional Hospital, Guinea.
⁴Department of Gynecology-Obstetrics, National Hospital Ignace Deen, Guinea.
⁵Department of General Surgery, National Hospital Ignace Deen, Guinea.

Correspondence to: Diakité SY, Department of Visceral Surgery, Conakry Enta Nord Regional Hospital, Guinea.
Received date: August 18, 2024; Accepted date: August 27, 2024; Published date: September 4, 2024
Citation: Barry TI, Diakité SY, Sow Z, et al. Torsion of Right Paratubal Cyst Discovered During Appendectomy about an Observation at Conakry University Hospital: A Case Report and Review of the Literature. J Med Res Surg. 2024;5(4):98-100. doi: 10.52916/jmrs244145
Copyright: ©2024 Barry TI, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: The paratubal cyst is a latero-uterine mass independent of the ovary, tubular, with thick, hypervascularized walls. It may be responsible for progressive complications such as Fallopian tube torsion.
Observation: Mrs FBD, 52 years old, admitted for abdominal pain in the Right Iliac Fossa (RIF) with episodes of fever. Course: 3 days. Past history: gastritis. Gestites: 5, parity: 4, alive: 4, dead: 1.
Examination: general condition satisfactory, integument and mucous membranes normocolored. BP=120/70. Temperature: 36°C, pulse: 80/min. Symmetrical abdomen participates in breathing, painful in IDF with parietal defense. Audible peristalsis. Pelvic touch was unremarkable. The rest of the examination was unremarkable. Biology: inflammatory biological syndrome: hyper leukocytosis (17.60G/L) with 84% neutrophils (14.78G/L). Through an approach in the lower abdominal fold, appendectomy followed by detorsion and right paratubal cystectomy. Good postoperative outcome.
Conclusion: Paratubal cysts and their complications are rarely diagnosed preoperatively. In our case, the diagnosis was made intraoperatively. Treatment consisted of right paratubal cystectomy with ovarian conservation.

Keywords:

Cyst, Paratubal, Torsion, Diagnosis, Treatment.

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