Asian Journal of Case Reports in Surgery

Para ovarian cysts are cystic tumours encountered in-between ovarian hilum and fimbria within mesosalpinx and broad ligament, usually diagnosed in 3rd - 4th decade of life. Large pelvic cyst in young adolescent shortly after menarche present a challenge in diagnosis and management. When such cyst presents as acute abdomen due to torsion, a high index of suspicion is required to differentiate from other common diagnosis including acute appendicitis, especially in a peripheral setting with limited imaging facilities. Early diagnosis and surgery are required to alleviate symptoms as well as to maintain the vitality of adnexal organ for future reproductive function. This case report describes a para ovarian cyst in 11 year old girl presented as acute abdomen at a peripheral hospital and managed with laparoscopic detorsion and para ovarian cystectomy.