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Symptomatic giant Müllerian duct cyst in an infant: radiographic and CT findings
1Department of Radiology, Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan.
Insights
A rare Müllerian duct cyst caused vomiting and urinary issues in an infant. Imaging confirmed a giant pelvic cyst communicating with the urinary tract.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Imaging
Background:
- Müllerian duct cysts are rare congenital anomalies.
- Infantile presentations are uncommon, especially with significant symptoms.
Observation:
- An 8-month-old infant presented with persistent vomiting and recurrent urinary tract infections.
- Computed tomography revealed a large midline pelvic cyst.
- Enhanced imaging showed cyst-urotract communication.
Findings:
- The cyst was confirmed as a giant Müllerian duct cyst.
- Diagnostic imaging accurately identified the cyst's origin and extent.
- Surgical intervention was performed for definitive management.
Implications:
- Highlights the importance of considering rare diagnoses in infants with complex symptoms.
- Demonstrates the utility of advanced imaging in diagnosing pelvic abnormalities.
- Emphasizes the need for surgical management of symptomatic Müllerian duct cysts.
Abstract:
We report an unusual case of Müllerian duct cyst in an 8-month-old infant who presented with frequent vomiting and recurrent urinary tract infections. Computed tomography showed a midline giant cyst in the pelvic floor. Delayed enhanced computed tomography demonstrated contrast filling of the cyst, indicating a communication with the urotract. Subsequent cystourethrogram and surgery confirmed a giant Müllerian duct cyst.
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