Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl
Objective: To describe a rare case of a retroperitoneal Müllerian cyst in a teenage girl with a protruding uterus and associated urogenital anomalies, and to discuss the challenges faced in differential diagnosis and management of such cases. Case report: We present the case of a 14-year-old girl pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002870 |
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| author | Fu-Chieh Chu Hsu-Han Wang Yen-Tin Chen Ya-Chun Chuang Liang-Ming Lo Steven W. Shaw |
| author_facet | Fu-Chieh Chu Hsu-Han Wang Yen-Tin Chen Ya-Chun Chuang Liang-Ming Lo Steven W. Shaw |
| author_sort | Fu-Chieh Chu |
| collection | DOAJ |
| description | Objective: To describe a rare case of a retroperitoneal Müllerian cyst in a teenage girl with a protruding uterus and associated urogenital anomalies, and to discuss the challenges faced in differential diagnosis and management of such cases. Case report: We present the case of a 14-year-old girl presented with a protruding uterus for several weeks, with a history of twin–twin transfusion syndrome at birth. Initial ultrasonography identified a large pelvic cystic tumor. Notably, during laparoscopy, a significant left retroperitoneal tubulocystic tumor was discovered, and the left ureter was absent. A computed tomography scan confirmed left renal agenesis, right kidney hyperplasia, a bicornuate uterus, and pectus excavatum. Surgical exploration and excision of the tumor were performed, with histological and immunohistochemical analyses confirming the presence of a Müllerian-type epithelium. Post-surgery, the protruding uterus improved, and the patient demonstrated notable recovery at a six-month follow-up. Conclusion: Retroperitoneal Müllerian cysts, though rare, should be considered in differential diagnoses of retroperitoneal cystic tumors, especially in patients with associated urogenital anomalies. Immunohistochemical profiling plays a critical role in distinguishing Müllerian cysts from other urogenital cysts. Patients with renal anomalies should be evaluated for associated urogenital anomalies, and surgical intervention should be considered based on symptom presentation and potential for malignancy. |
| format | Article |
| id | doaj-art-a0d92a66322f43458e1390b3fba6a795 |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-a0d92a66322f43458e1390b3fba6a7952025-01-09T06:12:52ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641125127Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girlFu-Chieh Chu0Hsu-Han Wang1Yen-Tin Chen2Ya-Chun Chuang3Liang-Ming Lo4Steven W. Shaw5Department of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan; School of Medicine, Chang Gung University, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Urology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; Chang Gung Transplant Institute, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan; School of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan; School of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. SWS: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 199 Dun-Hua North Road, 105, Taipei, Taiwan.Objective: To describe a rare case of a retroperitoneal Müllerian cyst in a teenage girl with a protruding uterus and associated urogenital anomalies, and to discuss the challenges faced in differential diagnosis and management of such cases. Case report: We present the case of a 14-year-old girl presented with a protruding uterus for several weeks, with a history of twin–twin transfusion syndrome at birth. Initial ultrasonography identified a large pelvic cystic tumor. Notably, during laparoscopy, a significant left retroperitoneal tubulocystic tumor was discovered, and the left ureter was absent. A computed tomography scan confirmed left renal agenesis, right kidney hyperplasia, a bicornuate uterus, and pectus excavatum. Surgical exploration and excision of the tumor were performed, with histological and immunohistochemical analyses confirming the presence of a Müllerian-type epithelium. Post-surgery, the protruding uterus improved, and the patient demonstrated notable recovery at a six-month follow-up. Conclusion: Retroperitoneal Müllerian cysts, though rare, should be considered in differential diagnoses of retroperitoneal cystic tumors, especially in patients with associated urogenital anomalies. Immunohistochemical profiling plays a critical role in distinguishing Müllerian cysts from other urogenital cysts. Patients with renal anomalies should be evaluated for associated urogenital anomalies, and surgical intervention should be considered based on symptom presentation and potential for malignancy.http://www.sciencedirect.com/science/article/pii/S1028455924002870Retroperitoneal Müllerian cyst |
| spellingShingle | Fu-Chieh Chu Hsu-Han Wang Yen-Tin Chen Ya-Chun Chuang Liang-Ming Lo Steven W. Shaw Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl Taiwanese Journal of Obstetrics & Gynecology Retroperitoneal Müllerian cyst |
| title | Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl |
| title_full | Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl |
| title_fullStr | Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl |
| title_full_unstemmed | Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl |
| title_short | Retroperitoneal Müllerian cyst causing uterine protrusion in a teenage girl |
| title_sort | retroperitoneal mullerian cyst causing uterine protrusion in a teenage girl |
| topic | Retroperitoneal Müllerian cyst |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002870 |
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