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Title: Mullerian cyst causing pain and mass effect requiring laparoscopic excision.
Author: Harrington, Patrick
Issue Date: 2017
Conference Name: Royal Australian and New Zealand College of Obstetricians and Gynaecologists 2017 Annual Scientific Meeting
Conference Date: October 29th – November 1st
Conference Place: Auckland, New Zealand
Abstract: Introduction: Vaginal cysts occur in less than 1% of the female population and are most prevalent in women in the third or fourth decade of life. A number of vaginal cysts that have been identified including, squamous epithelial inclusion cysts of the vagina, Gartner duct cysts, urothelial cysts, Bartholin gland cysts and the Mullerian or paramesonephric type. Mullerian cysts are the most common type of vaginal cyst (40%) and are usually small, benign fluid filled vaginal growths that are asymptomatic and rarely cause discomfort. Methods: I present the case of a 58 year old woman who required two laparoscopies for pelvic pain and bleeding in the eight years after a vaginal hysterectomy. Her pain was initially attributed to ovarian cysts but only truly improved following removal of a large Mullerian cyst which was causing a mass effect. Results: The most common location of a Mullerian cyst is on the anterolateral aspect of the vagina and they are lined by columnar endocervical and tubo‐endometrial type cells resembling lining of the endo cervix and fallopian tube. Mullerian cysts are known to be caused by displacement of epithelium, secondary to trauma (i.e. surgery) or abnormal congenital distribution. There have been case reports in the literature of malignant transformation. Discussion: I discuss the clinical manifestations, appropriate diagnostic tools and management of this condition.
Internal ID Number: 01237
Health Subject: VAGINAL CYSTS
Type: Conference
Appears in Collections:Research Output

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