PMC6942751_01
CT scan demonstrating the largest dimensions of the cyst (36 x 28 cm) prior to excision.
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fig1
Dimensions reported were 36 cm in long axis, 28 cm in transverse diameter, and 15 cm in anteroposterior diameter, corresponding to 7 liters in volume, suggestive of a right ovarian cystadenoma (Figures 1 and 2).
The paratubal cyst sac size noted following excision.
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fig2
Dimensions reported were 36 cm in long axis, 28 cm in transverse diameter, and 15 cm in anteroposterior diameter, corresponding to 7 liters in volume, suggestive of a right ovarian cystadenoma (Figures 1 and 2).
The figure demonstrates the 11 mm trocar introduced into the cyst cavity to facilitate drainage. A purse-string suture placed around the trocar is also demonstrated. A 5 mm suction tube was used to drain the cystic fluid contents through the trocar.
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fig3
An Alexis O  wound protector/retractor Applied Medical was introduced through the small incision permitting better visualization of the cyst (Figure 3).
The giant paratubal cyst sac after drainage persistently reaching the upper abdominal structures (the liver and the gall bladder).
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fig4
The cyst borders were identified (Figure 4).