Retroperitoneal Müllerian Cyst Found Incidentally During Total Laparoscopic Hysterectomy: Is There a Role for MRI in Pre-Operative Evaluation?

Authors

DOI:

https://doi.org/10.54536/ajlsi.v3i1.2298

Keywords:

Retroperitoneal Cyst, Müllerian Cyst, Total Laparoscopic Hysterectomy, Leiomyoma, Incidental Finding

Abstract

Retroperitoneal cysts of Müllerian origin are rare and often discovered incidentally during surgical procedures or imaging studies. We present a case of a retroperitoneal cyst found during a total laparoscopic hysterectomy performed for myoma removal. A 40-year-old female presented with symptomatic myomas and underwent pre-operative evaluation, including pelvic ultrasound, which revealed no abnormalities apart from the myomas. A cyst was incidentally discovered in the retroperitoneal space during a total laparoscopic hysterectomy procedure. The cyst was excised and sent for histological examination, which confirmed its Müllerian origin. Retroperitoneal cysts of Müllerian origin are rare findings during TLH. This case report highlights the importance of thorough pre-operative evaluation and imaging studies and the significance of intraoperative awareness in identifying incidental findings. Further research is warranted to determine the optimal diagnostic imaging strategies for such cysts.

Downloads

Download data is not yet available.

References

Giuliani, E., As-Sanie, S., & Marsh, E. E. (2020). Epidemiology and management of uterine fibroids. International Journal of Gynecology & Obstetrics, 149, 3–9. https://doi.org/10.1002/ijgo.13102

Johan, S., Hassan, M. F., Hayati, F., Azizan, N., Payus, A. O., & Edwin See, U. H. (2020). Huge Retroperitoneal Cyst Masquerading as Ovarian Tumour: A Case Report. Frontiers in Surgery, 7.

Renzulli, P., & Candinas, D. (2009). Symptomatic Retroperitoneal Cyst: A Diagnostic Challenge. Ann R Coll Surg Engl, 91, W9–W11. https://doi.org/10.1308/147870809X400877

Rivas, A. G., Epelman, M., Ellsworth, P. I., Podberesky, D. J., & Gould, S. W. (2022). Magnetic resonance imaging of Müllerian anomalies in girls: concepts and controversies. Pediatric Radiology, 52, 200–216. https://doi.org/10.1007/s00247-021-05089-6

Santana Gonzalez, L., Rota, I. A., Artibani, M., Morotti, M., Hu, Z., Wietek, N., ... Ahmed, A. A. (2021). Mechanistic Drivers of Müllerian Duct Development and Differentiation Into the Oviduct. Frontiers in Cell and Developmental Biology, 9.

Stefanopol, I. A., Baroiu, L., Neagu, A.-I., Danila, D. M., Nechifor, A., Miulescu, M., ... Tatu, A. L. (2022). Clinical, Imaging, Histological and Surgical Aspects Regarding Giant Paraovarian Cysts: A Systematic Review. Therapeutics and Clinical Risk Management, 18, 513–522. https://doi.org/10.2147/TCRM.S361476

Sugi, M. D., Penna, R., Jha, P., Pōder, L., Behr, S. C., Courtier, J., ... Choi, H. H. (2021). Müllerian Duct Anomalies: Role in Fertility and Pregnancy. RadioGraphics, 41, 1857–1875. https://doi.org/10.1148/rg.2021210022

Udayakumar, N., Smith, E., Boone, A., & Porter, K. K. (2023). A Common Path: Magnetic Resonance Imaging of Müllerian and Wolffian Duct Anomalies. Current Urology Reports, 24, 1–9. https://doi.org/10.1007/s11934-022-01138-1

Wilson, D., & Bordoni, B. (2024). Embryology, Mullerian Ducts (Paramesonephric Ducts). In StatPearls. StatPearls Publishing.

Xiao, X., Ma, R., Shi, L., Wang, C., Chen, J., Lu, Y., ... Fu, F. (2022). Case Report: Stage IIIc primary malignant mixed Müllerian tumor of the fallopian tube: A case of 5-year disease-free survival after cytoreductive surgery combined with peritoneal resection and adjuvant chemotherapy with paclitaxel plus carboplatin. Frontiers in Oncology, 12.

Yacoub, J. H., Clark, J. A., Paal, E. E., & Manning, M. A. (2021). Approach to Cystic Lesions in the Abdomen and Pelvis, with Radiologic-Pathologic Correlation. RadioGraphics, 41, 1368–1386. https://doi.org/10.1148/rg.2021200207

Yang, D. M., Jung, D. H., Kim, H., Kang, J. H., Kim, S. H., Kim, J. H., & Hwang, H. Y. (2004). Retroperitoneal Cystic Masses: CT, Clinical, and Pathologic Findings and Literature Review. RadioGraphics, 24, 1353–1365. https://doi.org/10.1148/rg.245045017

Zhu, X., Peng, C., Huang, Y., & Zhou, Y. (2023). Uterine cervical Müllerian adenosarcoma possibly arising from ovarian cystadenofibroma: A case report and review of the literature. Frontiers in Oncology, 12.

Downloads

Published

2024-05-14

How to Cite

Ngugi, A. N., & Njagi, J. (2024). Retroperitoneal Müllerian Cyst Found Incidentally During Total Laparoscopic Hysterectomy: Is There a Role for MRI in Pre-Operative Evaluation?. American Journal of Life Science and Innovation, 3(1), 44–47. https://doi.org/10.54536/ajlsi.v3i1.2298