Only a few cases of giant paratubal SCAs have been reported so far and most of those cases are related to reproductive age group. Despite the advances in preoperative diagnostics, an accurate diagnosis of adnexal masses is still difficult and challenging. In addition, radiological approach to the adnexal masses, primarily paratubal cysts, is still not uniformly reported. However, the size, persistence, and separability from the adjacent ovaries are the most helpful clues for identification of non physiological paratubal cysts .There are no standard criteria for laparoscopy or laparotomy. The size of the cyst, patient’s preference, and cyst rupture concern were the reasons for deciding on a laparotomy in our case. Intraoperative management are varies between cystectomy, cystectomy plus salpingectomy, and adnexectomy.

Dr. Shahzeen Rizvi has completed her post graduation in obstetrics and gynaecology from Shri Ram Murti Smarak Institute of medical sciences, India. She is currently practicing in Meerut as a senior resident.