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Background. Giant para tubal cysts are rare. Preoperative diagnosis poses a challenge. Choice of surgical approach is determined on the basis of morphologic characteristics of the cyst.
Case report. A complicated giant para tubal cyst in a 16-year-old girl is presented. Clinical and radiological findings were elusive. Final diagnosis was made intraoperatively. An open approach was chosen for safe and complete removal of the cyst. Uterus and bilateral adnexa were normal.
Discussion. The etiopathogenesis, diagnostic challenges and dilemma in selecting the surgical approach is discussed.
Conclusion. Clinical and radiological evaluation in giant para tubal cysts may be confusing. Open approach is preferable in view of complete removal of the cyst without rupture.
