Case report of a posterior vaginal wall Mullerian cyst

Mullerian cysts are common types of vaginal cysts, which are small and mainly asymptomatic. Sometimes they present as large symptomatic cystic lesions arising issues of differential diagnosis. They are congenital cysts found anywhere along the length of development of Mullerian duct, occurring typically during the conventional gynaecological examination. Authors report of a premenopausal woman presenting with a small asymptomatic, palpable cystic lesion in the posterior vaginal wall, found during the gynaecological re-examination one month after an open surgery for an ovarian endometrioma excision. The whole lesion was 0.4cm and surgically excised under general anesthesia. Postoperative period was completely uncomplicated. Pathology affirmed a benign Mullerian cyst. Although the majority of vaginal cysts may be asymptomatic, a complete excision is required especially in cases of suspected malignancy or other pathology. Clinical examination and imaging are not enough for determining the pathology and a histopathology confirmation is always necessary.

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A large posterior vaginal wall cyst simulating rectocele: an account of an unusual perplexing case

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20180453 ◽

2018 ◽

Vol 7 (3) ◽

pp. 1224

Author(s):

Deepali Garg ◽

Sheeba Marwah ◽

Ritu Sharma ◽

Sudha Salhan

Keyword(s):

Postoperative Complications ◽

Incidental Finding ◽

Relevant Literature ◽

Vaginal Wall ◽

Exceptional Case ◽

Cystic Lesions ◽

Posterior Vaginal Wall ◽

Careful Evaluation ◽

Gynaecological Examination ◽

Clinical Considerations

Benign cystic lesions of the vagina are uncommon, often being an asymptomatic incidental finding revelled during routine gynaecological examination. Large vaginal wall cysts > 5cm size are a rare gynaecological entity. Most of the work available in literature accounts their mullerian genesis. Large epidermal inclusion cysts are further rarer. Thus, here is described a case illustrating an exceptional case of large epidermal inclusion vaginal wall cyst mimicking rectocele. Also, clinical considerations and relevant literature review on the same has been addressed. A 40 year old lady P2L2 presented in gynecology OPD with complaints of feeling of fullness in the vagina associated with some mass protruding out of the vagina for last few years. Careful evaluation indicated it to be a large posterior vaginal wall cyst 7x6 cm, aping enterocele, lying separate from rectum. The cyst was then surgically excised without any intraoperative or postoperative complications. Giant vaginal cysts are an uncommon occurrence. Meticulous clinical evaluation, bolstered with pertinent investigations can help in clinching the diagnosis early.

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Another Cystic Lesion in the Calcaneus

Journal of the American Podiatric Medical Association ◽

10.7547/1030141 ◽

2013 ◽

Vol 103 (2) ◽

pp. 141-144 ◽

Cited By ~ 3

Author(s):

Mert Keskinbora ◽

Özkan Köse ◽

Yildirim Karslioglu ◽

Bahtiyar Demiralp ◽

Mustafa Basbozkurt

Keyword(s):

Differential Diagnosis ◽

Male Patient ◽

Bone Grafting ◽

Cystic Lesion ◽

Fibrous Histiocytoma ◽

Relevant Literature ◽

Long Bones ◽

Cystic Lesions ◽

Benign Fibrous Histiocytoma

Benign fibrous histiocytoma is a rare benign primary skeletal tumor that occurs frequently in the long bones and the pelvis. The calcaneus is an unusual location for benign fibrous histiocytoma. We did not identify any case of benign fibrous histiocytoma involving the calcaneus in the relevant literature. We describe a 22-year-old male patient with benign fibrous histiocytoma involving the calcaneus treated with curettage and bone grafting. At the final follow-up visit, 1 year after surgery, the patient was free of pain and walking unaided. We discuss the differential diagnosis of cystic lesions of the calcaneus. (J Am Podiatr Med Assoc 103(2): 141–144, 2013)

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Orbital Cystic Schwannoma Originating from the Frontal Nerve

Case Reports in Ophthalmological Medicine ◽

10.1155/2012/604574 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Yasuhiko Hayashi ◽

Takuya Watanabe ◽

Daisuke Kita ◽

Yutaka Hayashi ◽

Masayuki Takahira ◽

...

Keyword(s):

Differential Diagnosis ◽

Histological Examination ◽

Cystic Lesion ◽

Neurological Deficits ◽

Cystic Lesions ◽

Benign Neoplasms ◽

Neurological Findings ◽

History Of ◽

Cystic Schwannoma

Schwannomas of the orbit are very rare benign neoplasms. Intraorbital cystic schwannomas originating from the frontal nerve are even rarer, with only 1 case reported to date. This is most likely due to the fact that, in most cases, the origin of the orbital schwannoma cannot be identified intraoperatively. The nerve origin is usually speculated from histological examination of the specimen and the postoperative neurological deficits of the patient. Here, we present the case of a 65-year-old woman with a one-month history of exophthalmos, whose orbital cystic lesion was completely removed by microsurgical transcranial operation. Intraoperatively, the continuity between the tumor and frontal nerve was seen macroscopically, leading us to confirm the frontal nerve as an origin of the tumor, which was consistent with the postoperative neurological findings. The diagnosis of the tumor was established as schwannoma from the histological examination. As a differential diagnosis of the orbital cystic lesions, the possibility of schwannomas should be kept in mind.

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Isolated Renal Hydatid Cyst Misdiagnosed and Operated as a Cystic Renal Tumor

Medical Principles and Practice ◽

10.1159/000488878 ◽

2018 ◽

Vol 27 (3) ◽

pp. 297-300 ◽

Cited By ~ 1

Author(s):

Rabea A. Gadelkareem ◽

Ayman A. Elqady ◽

Sayed K. Abd-Elshafy ◽

Hisham Imam ◽

Hassan A. Abolella

Keyword(s):

Differential Diagnosis ◽

Hydatid Cyst ◽

Double Layer ◽

Radical Nephrectomy ◽

Renal Mass ◽

Cystic Lesion ◽

Clinical Presentation ◽

Renal Tumor ◽

Cystic Lesions ◽

Loin Pain

Objective: The aim of this work is the presentation of a case of isolated renal hydatid cyst with novel findings and an unusual surgical scenario. Clinical Presentation and Intervention: A 54-year-old female patient presented with left loin pain and a palpable left renal mass. Imaging described a well-demarcated left renal cystic lesion with a double-layer wall. Radical nephrectomy was performed due to the possibility of malignancy. On retrograde revision, the double-layer wall represented the detached germinative membrane of a hydatid cyst that was confirmed by histopathology. Conclusion: Isolated renal hydatid cyst could be misinterpreted as a renal tumor. It should be considered in the differential diagnosis of renal cystic lesions.

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Contribution of MR imaging and CEA cystic fluid level to the differential diagnosis of cystic lesions of the pancreas

Gastroenterology ◽

10.1016/s0016-5085(01)83805-1 ◽

2001 ◽

Vol 120 (5) ◽

pp. A764-A764

Author(s):

M DELHAYE ◽

C WINANT ◽

D DEGRE ◽

B GULBIS ◽

C GERVY ◽

...

Keyword(s):

Differential Diagnosis ◽

Mr Imaging ◽

Cystic Lesions ◽

Fluid Level ◽

Cystic Fluid

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EFFECTS OF ISOLATED POSTERIOR VAGINAL WALL PROLAPSE ON LOWER URINARY TRACT SYMPTOMS

Journal of Gynecology Obstetrics and Human Reproduction ◽

10.1016/j.jogoh.2021.102095 ◽

2021 ◽

Vol 50 (4) ◽

pp. 102095

Author(s):

Derya Kilic ◽

Tolga Guler ◽

Ismail Gokbel ◽

Deniz Akin Gokbel ◽

Deniz Aydin Ceylan ◽

...

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Vaginal Wall ◽

Posterior Vaginal Wall ◽

Posterior Vaginal Wall Prolapse ◽

Urinary Tract Symptoms ◽

Lower Urinary

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Management of uterine cystic adenomyosis by laparoscopic surgery: case report

BMC Women s Health ◽

10.1186/s12905-021-01341-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cheng-Zhi Zhao ◽

Bin Wang ◽

Chun-yan Zhong ◽

Shen-tao Lu ◽

Li Lei

Keyword(s):

Laparoscopic Surgery ◽

Rare Case ◽

Cystic Lesion ◽

Ultrasound Examination ◽

Ca 125 ◽

Cystic Lesions ◽

Good Recovery ◽

Case Presentation ◽

Solid Lesions ◽

Uterine Body

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

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