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

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.