Giant Paraovarian Cysts in an Adolescent Female Patient: A Case Report and Literature Review

Paraovarian cysts (POCs) are noncancerous growths that develop next to the ovary and fallopian tube. POCs are deemed to be significant when they surpass the threshold of 150 mm. Clinical signs and symptoms arise as a result of the pressure impact on nearby organs or due to associated complications. This case study highlights a 13-year-old adolescent female patient who presented with severe lower abdominal pain, nausea, and vomiting with a rare clinical presentation of bilateral giant POCs. A pelvic ultrasound demonstrated the presence of bilateral cystic lesions. Surgical excision was performed with a Pfannenstiel incision, and two large cystic lesions from both sides were extracted. One giant paraovarian on the left side was excised with dimensions of 21 cm, and the right giant POC was also excised with dimensions of 8.5 cm. Lower abdominal pain subsided after the operation, and the patient was symptom-free. Histopathological examination confirmed that the cyst had a thin fibrous wall and was lined with bland tubal or flattened epithelium, identifying it as a benign POC. Three months after the operation, the patient was doing well with no signs of recurrence.