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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2012, Vol. 6 Issue (4) : 440-443     DOI: 10.1007/s11684-012-0222-6
CASE REPORT |
A giant Müllerian duct cyst in the perineum: a case report
Xianghu Meng1, Jihong Liu1(), Xiao Yu1, Shaogang Wang1, Cong Liu2, Zhangqun Ye1
1. Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2. Department of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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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     
Corresponding Authors: Liu Jihong,Email:jhliu@tjh.tjmu.edu.cn   
Issue Date: 05 December 2012
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-012-0222-6     OR     http://academic.hep.com.cn/fmd/EN/Y2012/V6/I4/440
Fig.1  The pre- and post-operative images of the patient. (A) Pre-operation. The patient could not even walk for a short time before operation and had symptoms such as frequent and arduous urination and so on due to the huge cyst, which seriously impacted the quality of life of the patient. (B) Post-operation. The patient could stand and move spontaneously, and symptoms of difficult urination and defecation had been significantly improved.
Fig.2  The CT scan and MRI images of the cyst. CT scan and MRI suggested a huge cystic mass in perineum and pelvic, which was exactly a multilocular cystic mass, and the thickness of cystic walls were uneven.
Fig.3  The pathological sections of patient’s cyst. The pathological sections of patient’s cyst walls indicated that cyst walls were mainly constituted by fibrous connective tissue, and simple columnar epithelium is visible on the local scale. Different parts of the cyst walls showed edema, glassy degeneration and infiltration of inflammatory cells (H&E, original magnification 200×).
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