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Mesothelial cyst of uterus in a nullipara patient: A case report
Xiu-Cong Ren1, Wei Liu2, Li-Rong Hu3
1Department of Gynecology, Chengdu First People's Hospital, Chengdu, Sichuan Province, China.
Introduction:
Uterine mesothelial cysts represent a diagnostic challenge because of their low incidence, with very few cases reported in the English literature.
Patient Concerns:
We report the case of a 27-year-old nullipara woman complaining of self-discovery of a mass in the abdomen for 1 week. Supersonic examination revealed a pelvic cystic lesion measuring 8.9 × 8.2 cm. The patient underwent exploratory single-port laparoscopic surgery and had a large uterine cystic mass located within the posterior wall of the uterus.
Diagnosis:
After excision of the uterine cyst, the final histopathological diagnosis was uterine mesothelial cyst.
Interventions:
We treated her with a single-port laparoscopic uterine cystectomy.
Outcomes:
Close follow-up of the case for 2 years showed that the patient was free of any symptoms, and no recurrence was noted.
Lessons:
Uterine mesothelial cysts are extremely rare. They are often misdiagnosed by clinicians as extrauterine masses or cystic degeneration of leiomyomas. This report aims to share a rare case of uterine mesothelial cyst and improve gynecologists' academic vision of the disease.
