Abstract
Abstract Introduction: Paraovarian cysts account for under 7% of all adnexal cysts and are probably even rarer in adolescent girls.1 They are normally asymptomatic, but may present acutely as lower abdominal pain due to hemorrhage, rupture, or torsion.2,3 Large cysts have a high risk of torsion, which can involve local structures, including the Fallopian tube and ovary.4 Laparoscopy allows prompt diagnosis and intervention to preserve adnexal organs, function, and fertility. Description of video: The video shows two cases of laparoscopic repair of torted paraovarian cysts, demonstrating laparoscopic detorsion and excision of necrotic material with the preservation of both ovaries. Case 1: A 12-year-old girl presented with a 4-day history of worsening lower abdominal pain. Transabdominal ultrasound identified a 7 × 8-cm unilocular cystic lesion with irregular thickening of part of the posterior wall. Tumor markers were negative, but involvement of the ovary could not be excluded. At laparoscopy, a large to...
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