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Symptomatic Mullerian Duct Cyst in a Male Infant

Abhishek Chinya1, Prince Raj1, Shandip Kumar Sinha1

  • 1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India.

APSP Journal of Case Reports
|September 28, 2016
PubMed

Insights

Symptomatic Mullerian duct cysts are rare in children, causing bowel and urinary obstruction. Surgical excision and cauterization led to symptom resolution in a pediatric patient.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Developmental Biology

Background:

  • Mullerian duct cysts are rare congenital anomalies originating from the embryonic paramesonephric ducts.
  • While typically asymptomatic, they can cause symptoms due to mass effect, particularly in pediatric patients.

Observation:

  • A 9-month-old male infant presented with significant bowel and urinary obstructive symptoms.
  • Imaging revealed a cystic mass in the rectovesical pouch impinging on the bladder neck and rectum.

Findings:

  • Laparotomy confirmed the presence of a Mullerian duct cyst.
  • Surgical management involved partial excision and cauterization of the remaining cyst lining.

Implications:

  • This case highlights the importance of considering Mullerian duct cysts in the differential diagnosis of pediatric obstructive uropathy and bowel issues.
  • Prompt surgical intervention can effectively alleviate symptoms and prevent complications associated with these rare cysts.

Keywords:
Intestinal obstructionMullerian duct cystObstructive uropathy

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