Paraovarian cyst - causes, symptoms, treatment and consequences
Table of contents:
Paraovarian cyst is, in fact, the neoplastic tumor type which arises from the epididymis ovary. This pathology may not have any symptoms, and can be a cause of recurrent pain in the abdomen and the lumbar region. It can also be the cause of disorders of the menstrual cycle.
Very often this type of cyst is found incidentally when a woman is not concerned about anything except non-occurrence of pregnancy. Abnormality is often detected by chance during ultrasound when a woman presents to a gynecologist for infertility. The most complicated cases in the course of the disease are manifested in the form of purulent-inflammatory processes of the cyst, twisting her leg and breaking the capsules. Treatment involves removal of the cysts while maintaining the fallopian tubes and ovaries.
Localization
The localization paraovarian cyst is a cavity, conditional borders, which are the ovary, uterine ligament and fallopian tube. By itself, the cyst has a picture of cavitary education, the cause of which is a violation of the process of embryogenesis from paraovarian – a rudimentary education. In fact, it is omolojeniya appendage.
The Age at which most often reveals the disease – 20-40 years. Adolescence is rarely seen.
Anatomical and physiological characteristics
The Body paraovarian cyst is round or belopotosky shape and fugolastic consistency. Wall transparent, smooth and thin (not more than 2 mm), the inside lined with flat, single-row cylindrical epithelium nature. The contents of the cyst presents a homogeneous transparent watery liquid, containing a significant amount of protein and a small amount of mucin. The growth of the cyst occurs quite slowly, and over time the cyst may have very small dimensions.
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Paraovarian cyst on the right quite sedentary, slow growing and long can have a small size. An accumulation of watery content increases the cyst and stretching her walls. Their average size in the range of 8-10 cm, There are cases when the cyst reaches the size of a head of a newborn baby.
Triggers
Factors contributing to the growth of cysts.
- Inflammation of the uterus and appendages;
- Endocrine disorders;
- Precocious puberty;
- Abortion;
- Uncontrolled use of hormonal contraceptives;
- Sexually transmitted disease;
- Abuse of insolation and hot water treatments;
- Pregnancy – with the hormonal changes there is a tendency to growth of tumors.
Many people wonder what it is paraovarian cyst on the left. Face it.
Symptoms
In the case of very small cysts (2-3 cm), it often has no clinical manifestations. And just as further growth can periodically disturb symptoms such as aching and bursting pains in the side or in the sacrum. Pain usually do not have temporal reference to menstrual-ovulatory cycle have a tendency to increase during physical activity, can appear and disappear quite suddenly.
Pravarasena the cyst may have a compressive effect on the pelvic organs, respectively, shown specific symptoms: urination disorder, constipation or, conversely, unmotivated urge to defecate. May even increase slightly the stomach. Cysts are often the cause of menstrual irregularities and infertility. The most complicated variants of the pathology lead to the development of symptoms of acute abdomen. The acute manifestations have, for example, in case of capsule rupture or twisting of the legs. In these cases, required the removal of paraovarian cysts.
Diagnostics
Above we noted that, since pronounced symptoms of cystic formations is often absent, the disease is mostly diagnosed by chance during a routine ultrasound or laparoscopic examination time when searching for causes of infertility. The cyst can be detected and the time of bimanual gynaecological examination by palpation. Touch a cyst is detected in the form of a painless tumor masses with smooth contours, elastic consistency and with limited mobility, localized over the uterus or to the side.
Transvaginal ultrasound reveals paraovarian cystic ovary (right or left) or belopotosky rounded shape with a thin-walled structure and homogeneous anechoic content. In more rare cases, content can be presented in the form of a fine suspension.
Important is the diagnostic differentiation of ectopic pregnancy, ovarian cysts and other tumor pathologies.
What is it - paraovarian cyst on the left or right, it is now clear, but how is it treated?
Treatment Method
Unfortunately, the phenomenon paraovarian cyst to the right or left is not classified as formations of the ovary, capable of retinoate, such as, for example, cystic formation of the corpus luteum or follicular cyst.
Once, she will not disappear. It merely can be quite a long time to exist completely asymptomatic and fairly common practice when in case the cyst does not bother the patient, the doctors leave the education and just being monitored.
However, above we noted that this disease affects women of reproductive age, which means that the cyst can cause non-occurrence of pregnancy. In this regard, before planning the birth of a child or before preparing the IVF procedure it is desirable to remove surgical: laparoscopy or laparotomy (less common).
If cystic pathology is uncomplicated in nature, the operation on paraovarian cyst is limited to the dissection of the front leaf uterine ligaments and husking tumors. The ovary and fallopian tube remain intact. This is good news.
Deformed during the operation, the fallopian tube has the ability to shrink and take shape. In some cases, you may need other tactics of the operation, when carried out aiming to puncture the cyst with subsequent aspirinova content, simultaneously with which it is administered to alcohol with the aim of obliteration of the cavity of the cyst.
Modern surgical approaches for laparoscopic surgery involve minimal intervention in the form of small incisions. Operation is simple and very well tolerated. Patients are discharged home soon. Consider treatment paraovarian cysts using drugs.
Medication
The Dynamic monitoring of cystic tumor suggests the possible use of anti-inflammatory drugs.
In case of violation of menstrual function can be carried out hormonal therapy drugs, estrogen and progesterone. For this purpose, to appoint oral contraceptives - "yasmin", "Janine", as well as drugs with low hormonal content – “Premarin”, “Proginova”.
Importantly, the treatment pravarasena ovarian cyst was timely.
Consequences
The fact that cystic formation is usually pretty quiet throughout. To provoke the above-mentioned complications in the form of purulent-inflammatory process, the torsion leg or rupture of the capsule can such factors as an abrupt change in body position, excessive and improperly organized physical load, overheating the abdominal area, and other factors of aggressive character.
Cystic Torsion legs leads to compression of the uterine ligaments. In addition, clamping the exposed nerve and vascular trunks, and even the fallopian tube. All these restrictions lead to necrotic lesions paraovarian cysts, which affects the health of women in General. The stomach is covered by waves of cramping pain, while pain relievers do not help. Anterior abdominal wall is under considerable tension, can appear abdominal distension, palpitations, skin becomes pale and covered with cold sweat.
Inflammatory process paraovarian cysts may be lymphogenous or hematogenous nature. It is accompanied by high fever, often with General intoxication lesions of the body, the sharp pain in the abdomen diffuse nature. You may experience vomiting.
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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."
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