{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:13:26Z","timestamp":1774444406730,"version":"3.50.1"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Paratubal cysts are common adnexal lesions, generally under 6 cm in size. Although mostly benign, rare cases of malignant transformation into adenocarcinomas have been reported. Complications include rupture, hemorrhage, and occasionally adnexal torsion. This case report involves an 18-year-old woman presenting with right-sided adnexal torsion caused by a paratubal cyst.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>The patient, with no significant medical history, presented with acute right pelvic pain and vomiting. She was tachycardic with marked tenderness in the right iliac fossa. Ultrasound revealed a 6 cm right paratubal cyst and signs of adnexal torsion. Surgery confirmed a 5 cm paratubal cyst with adnexal torsion. The histopathology report confirmed a benign paratubal cyst.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Paratubal cysts represent 5-20 % of adnexal masses, developing from embryonic remnants. Some can become very large and have a small risk of malignant transformation. Complications like rupture, hemorrhage, or torsion can present as acute, or gradually worsening pelvic pain, sometimes with gastrointestinal symptoms. Ultrasound is often the first imaging choice, revealing a cystic mass and potential signs of torsion. Doppler ultrasound can aid by showing spiral vessel patterns, though normal blood flow does not rule out torsion. In uncertain cases, MRI is valuable for detailed visualization.<\/jats:p>\n                    <jats:p>Surgical intervention, preferably via laparoscopy, is the standard treatment. Larger cysts may require a combined approach of laparoscopy for diagnostic purposes. Complete cystectomy is recommended to prevent malignant spread, with salpingectomy considered for severe tubal damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Paratubal cysts, while usually asymptomatic, can present with complications, especially torsion. Prompt diagnosis and management are essential to preserve fertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.110901","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T11:03:43Z","timestamp":1737198223000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of Adnexal torsion on a paratubal cyst- A case report"],"prefix":"10.1097","volume":"128","author":[{"given":"Khadija","family":"Errmili","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef","family":"Essebbagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amina","family":"Etber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najia","family":"Zeraidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amina","family":"Lakhdar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz","family":"Baidada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"5","key":"R1-3-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"key":"R2-3-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.crwh.2020.e00222","article-title":"Giant paratubal cyst presenting as adnexal torsion: a case report","volume":"27","author":"Alpendre,","year":"2020","journal-title":"Case Reports in Women's Health"},{"issue":"8","key":"R3-3-20260325","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1016\/j.jpedsurg.2024.03.054","article-title":"Factors associated with isolated fallopian tube torsion in pediatric patients","volume":"59","author":"Schwartz,","year":"2024","journal-title":"J. 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Invasive Gynecol."},{"issue":"6","key":"R6-3-20260325","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.annpat.2023.07.001","article-title":"L\u00e9sions de type m\u00e9son\u00e9phrique des organes g\u00e9nitaux f\u00e9minins : un panorama depuis les tumeurs b\u00e9nignes jusqu'aux aux entit\u00e9s malignes \u00e9mergentes","volume":"43","author":"Trecourt,","year":"2023","journal-title":"Ann. Pathol."},{"key":"R7-3-20260325","article-title":"Multiple bilateral paratubal cysts and recurrent bilateral fallopian tube torsion in a premenarchal female: a case report","volume":"109","author":"Ermler,","year":"2024","journal-title":"J Pediatr Surg Case Rep"},{"key":"R8-3-20260325","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.108777","article-title":"Torsion of paratubal cyst mimicking ovarian torsion: a rare case of difficult diagnosis","volume":"110","author":"Jalal,","year":"2023","journal-title":"Int. J. Surg. 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