Reem Akkawi1, Alfredo L Valente, Shawky Z A Badawy. 1. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Upstate Medical University, Syracuse, NY, USA.
Abstract
BACKGROUND: Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE: This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a large cystic mass in the pelvis. Mini-laparotomy confirmed torsion of the left adnexa due to the mass. The adnexa was untwisted. The cyst and the left tube were removed and the ovary regained its blood flow and was saved. SUMMARY AND CONCLUSION: Mesonephric duct cyst should be considered in the diagnosis of pelvic masses in adolescent girls.
BACKGROUND: Mesonephric duct remnants usually do not present any clinical dilemma. However, if the cellular lining remains active, it may lead to cystic lesions that may cause pain or torsion of the adnexa. CASE: This is a 13-year-old female who presented because of severe pelvic pain. Ultrasound and CT scan revealed a large cystic mass in the pelvis. Mini-laparotomy confirmed torsion of the left adnexa due to the mass. The adnexa was untwisted. The cyst and the left tube were removed and the ovary regained its blood flow and was saved. SUMMARY AND CONCLUSION: Mesonephric duct cyst should be considered in the diagnosis of pelvic masses in adolescent girls.
Authors: Vincenzo De Sanctis; Ashraf T Soliman; Heba Elsedfy; Nada A Soliman; Rania Elalaily; Salvatore Di Maio; Alaa Y Ahmed; Giuseppe Millimaggi Journal: Acta Biomed Date: 2017-08-23