Citation: BMJ Case Rep. 2014;2014
Author: Sarkar D, Gulur D, Patel S, Nambirajan T
Abstract: A 34-year-old woman presented to the surgical assessment unit with severe right
loin to groin pain. An ultrasound scan of the abdomen revealed a complex cyst in
the right iliac fossa and a subsequent CT scan revealed a 7.5 cm retroperitoneal
cystic lesion below the lower pole of the right kidney. The patient also had MRI
of the kidneys, which confirmed the finding. The image showed the cyst was not
attached to the kidneys and was clearly separate. She underwent a laparoscopic
excision of the cyst. Histopathology revealed a cyst lined by a single layer of
mucinous epithelium of endocervical type with foci of calcification and
hyalinisation on the wall. The cyst was thought to be a benign cyst of Mullerian
origin.
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