Abstract
Background:
Female müllerian cysts are commonly found in the fallopian tube, sometimes in ovary, but it is rare for them to be found in the uterus. Müllerian cysts are formed by mucus secretion from these residual müllerian tissues, and they are usually single form.
Case:
A 51-year-old woman had a history of 4+ years of menstrual disorders, but was otherwise healthy. A pelvic mass was found 1 week before hospitalization. Bimanual examination disclosed that the uterus was slightly enlarged with average texture and good range of motion. After admission, a total laparoscopic vaginal hysterectomy and bilateral adnexal resection were performed with the patient under general anesthesia. Findings during the operation included the following: the uterine fundus was slightly enlarged with smooth surface and irregular shape, and the lower corpus had two oval-shaped cystic masses, measuring 5 cm × 4 cm and 5 cm × 3 cm, respectively. The larger one was connected to the left fallopian tube. The posterior serosal surface of the uterus had four nipple-like pedunculate cystic masses that were 1–2 cm in diameter, and bilateral adnexa showed no obvious abnormalities.
Conclusions:
The cyst in this case demonstrated multiple forms. The condition itself is clinically rare. A correct diagnosis was not made and the postoperative diagnosis was not confirmed until the pathological examination. (J GYNECOL SURG 27:43)
