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Ureters01:22

Ureters

469
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
469

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Retroperitoneal Cyst of Mullerian Type.

D Basnet1, R Makaju1, N Gautam1

  • 1Department of Pathology, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Kathmandu University Medical Journal (KUMJ)
|April 17, 2024
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Summary

Retroperitoneal Mullerian cysts are rare benign tumors. This case highlights a symptomatic cyst in a 30-year-old female, emphasizing the need for diagnosis when abdominal pain occurs.

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Area of Science:

  • Gynecologic Oncology
  • Surgical Pathology
  • Urology

Background:

  • Retroperitoneal Mullerian cysts are uncommon neoplastic cysts originating from the urogenital system.
  • Typically asymptomatic, they can cause symptoms due to mass effect, infection, hemorrhage, or rupture.

Observation:

  • A 30-year-old female presented with abdominal distension and epigastric pain.
  • Imaging revealed a mass in the retroperitoneal space.

Findings:

  • Surgical excision of the retroperitoneal mass was performed.
  • Microscopic examination confirmed a benign cyst of Mullerian origin, lined by ciliated columnar epithelium.

Implications:

  • This case underscores the importance of considering Mullerian cysts in the differential diagnosis of retroperitoneal masses, especially in women presenting with abdominal symptoms.
  • Early diagnosis and surgical management are crucial for symptomatic cases.