Fact-sheet: Paratubal cyst


Updated on 03/22/2021 at 10:45 AM

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Definition

Also called paraovarian cyst

Cyst arising from a remnant of the Wolffian ducts

Clinical features

Often an incidental finding on ultrasound workup.

Sometimes painful in case of rupture or if involved in tubal torsion.

Laboratory findings

None

Ultrasound

Reference, reveals a cyst of extra-ovarian origin:

- Purely fluid-filled, inter-utero-ovarian

- On bimanual palpation: mobilization of the cyst allows it to be moved independently of the ovary

CT

Does not allow characterization of the lesion, only shows a nonspecific adnexal cyst.

MRI

Unilocular fluid-filled paraovarian cyst.

Nuclear medicine

No indication or role

Management

No management if asymptomatic.

Classification

Benign

Differential diagnosis

Other categories of periovarian fluid-filled lesions:

- Hydrosalpinx

- Peritoneal pseudocyst