A giant Müllerian duct cyst in the perineum: a case report

Abstract

The authors present a case report of a giant Müllerian duct cyst in the perineum. A 37-year-old man presented with a mass with the size of 50 cm×40 cm×30 cm in the perineum. Computed tomography (CT) scan and magnetic resonance imaging (MRI) of the pelvis and perineum found a huge multilocular cystic mass. X-ray film of the pelvis showed a giant soft-tissue shadow of high density in the perineum. Voiding cystourethrogram did not show any cyst interlinked to posterior urethra. After related examinations, the patient underwent open surgical resection of the cyst. Pathologic examination confirmed the presence of a Müllerian duct cyst. Huge Müllerian duct cyst is uncommon in clinic. Treatments of Müllerian duct cysts depend on their sizes and symptoms.

Keywords

Müllerian duct cyst / clinical symptoms / diagnosis

References

[1] Aminsharifi A, Afsar F, Pakbaz S. Laparoscopic management of Müllerian duct cysts in infants. J Pediatr Surg2011; 46(9): 1859–1864

[2] Coppens L, Bonnet P, Andrianne R, de Leval J. Adult Müllerian duct or utricle cyst: clinical significance and therapeutic management of 65 cases. J Urol2002; 167(4): 1740–1744

[3] Desautel MG, Stock J, Hanna MK. Müllerian duct remnants: surgical management and fertility issues. J Urol1999; 162(3 Pt 2): 1008–1013, discussion 1014

[4] Luo JH, Chen W, Sun JJ, Xie D, Mo JC, Zhou L, Lu J. Laparoscopic management of Müllerian duct remnants: four case reports and review of the literature. J Androl2008; 29(6): 638–642

[5] Warmann SW, Vogel M, Wehrmann M, Scheel-Walter HG, Artlich A, Pereira PL, Fuchs J. Giant mullerian duct cyst with malignant transformation in 15-year-old boy. Urology2006; 67(2): 424.e3–424.e6

[6] Jaidane M, Hidoussi A, Slama A, Hmida W, Sorba NB, Mosbah F. An acute urinary retention in an old man caused by a giant Müllerian duct cyst: a case report. Cases J2009; 2(1): 203

[7] Hong YK, Onal B, Diamond DA, Retik AB, Cendron M, Nguyen HT. Robot-assisted laparoscopic excision of symptomatic retrovesical cysts in boys and young adults. J Urol2011; 186(6): 2372–2378

[8] Lima M, Aquino A, Dòmini M, Ruggeri G, Libri M, Cimador M, Pelusi G. Laparoscopic removal of Müllerian duct remnants in boys. J Urol2004; 171(1): 364–368

[9] Krstić ZD, Smoljanić Z, Mićović Z, Vukadinović V, Sretenović A, Varinac D. Surgical treatment of the Müllerian duct remnants. J Pediatr Surg2001; 36(6): 870–876

[10] Okur H, Gough DC. Management of Müllerian duct remnants. Urology2003; 61(3): 634–637, discussion 637

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