Mesothelial Cyst in the Uterine Myometrium: A Rare Localization.

Cureus

Department of Obstetrics and Gynecology, Kastamonu Training and Research Hospital, Kastamonu, TUR.

Published: December 2024

AI Article Synopsis

  • Mesothelial cysts in the uterus are extremely rare; a 41-year-old woman experienced abdominal pain and imaging revealed a cystic mass in her uterus.
  • The patient underwent laparoscopic surgery, where a 7 cm cystic lesion was found in the uterine wall.
  • Pathological tests confirmed it was a mesothelial cyst, emphasizing that these cysts can resemble other conditions and are best diagnosed through surgical removal and examination.

Article Abstract

Mesothelial cysts in the uterus are exceedingly rare. A 41-year-old patient presented with complaints of abdominal pain, and transvaginal ultrasonography revealed an enlarged uterus with a hypoechoic intramural cystic mass measuring 7.2 × 3.3 × 3.6 cm in the posterior uterine corpus. Suspecting a degenerated leiomyoma, the patient underwent a total laparoscopic hysterectomy and bilateral salpingectomy. Intraoperatively, a cystic lesion approximately 7 cm in size was observed within the myometrium of the posterior uterine wall. Pathological examination, supported by immunohistochemical findings, confirmed the diagnosis of a mesothelial cyst. Mesothelial cysts can mimic various clinical and radiological entities, and definitive diagnosis is typically established through pathological evaluation following complete excision of the lesion.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699872PMC
http://dx.doi.org/10.7759/cureus.75158DOI Listing

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Article Synopsis
  • Mesothelial cysts in the uterus are extremely rare; a 41-year-old woman experienced abdominal pain and imaging revealed a cystic mass in her uterus.
  • The patient underwent laparoscopic surgery, where a 7 cm cystic lesion was found in the uterine wall.
  • Pathological tests confirmed it was a mesothelial cyst, emphasizing that these cysts can resemble other conditions and are best diagnosed through surgical removal and examination.
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