腹腔鏡下に摘出できた子宮頸部Gartner管嚢胞の一例

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  • A case of Gartner's duct cyst arising from the cervix resected by laparoscopic surgery

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  Gartner's duct cysts are dilated Wolffian duct remnants commonly found in the lateral part of the vagina. We report a case of Gartner's duct cyst arising from the cervix, which was resected laparoscopically. <BR>  A 13-year-old girl complained of lower abdominal pain. An ultrasound scan revealed a pelvic tumor and MRI showed a 3.8 × 4 cm cervical cyst. There were no malformations in the uterus or kidneys. The cyst was diagnosed as a Gartner's duct cyst arising from the cervix. The patient underwent laparotomy, and the cyst was found in the upper side of the right sacrouterine ligament. Visibility was limited by the narrow surgical incision, and resection of the cyst was difficult. The cyst was aspirated, and the contents were negative for malignancy. Several months postoperatively, the patient had a recurrence of the pain. Treatment options were laparoscopic surgery, marsupialization, and sclerotherapy. On operation, we incised the serosa of the cyst and peeled it off from the surrounding area. The cyst was connected to the cervical canal, and the defect in the cervical canal that resulted from its resection was sutured. The patient was pain-free after laparoscopic surgery. We suggest that Gartner's duct cyst arising from the cervix and protruding toward the pelvic cavity is a potential candidate for laparoscopic resection.

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