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Retroperitoneal duplication cyst with a fistulous tract to the vagina: a case report
Gilad A Filmar1, Peter M Lotze, Hilaire W Fisher
1Women's Pelvic Health & Continence Center, Houston, TX, USA. gfilmar@gmail.com
Objectives:
To describe a rare case of a retroperitoneal duplication cyst that fistulized to the vagina.
Methods:
Case description and discussion of a patient found to have an intestinal duplication cyst.
Results:
A patient presented for a laparoscopic hysterectomy because of menorrhagia and a fibroid uterus. She also complained of recurrent urinary tract infections (UTIs) and a vaginal discharge. A retroperitoneal intestinal duplication cyst that fistulized to the vagina and caused her recurrent UTIs was identified. Surgical resection of the cyst resolved her complaint of recurrent UTIs.
Conclusions:
Retroperitoneal intestinal duplication cysts are rare congenital anomalies with vague clinical manifestations. The finding of a fistulous communication to the vagina originating from such a structure can be associated with recurrent UTIs.
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