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May 2013 JMIG Cover

JOURNAL SPOTLIGHT: Symptomatic Subserous Multicystic Uterus

Authors: George Pados, Anastasios Makedos, Konstantina Diamanti, Zaharoula Ntinou, Thomas Zaramboukas, Basil Tarlatzis
Citation: The Journal of Minimally Invasive Gynecology, Volume 20, Issue 3, Page 328
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Abstract: A 39-year-old woman of western European origin came to the gynecologic outpatient clinic with urinary urgency for the past 3 months. At examination, no symptoms were reported. Transvaginal ultrasonography revealed multiple cystic hypoechogenic structures around the uterus, with diameter ≤2 cm, and a single cyst of 3.5-cm diameter on the anterior wall, in contact with the urinary bladder. The ovaries and endometrium appeared anatomically normal. During elective laparoscopy, multiple small subserous cysts were noted all over the uterine body, and a single cyst ∼4 cm in diameter was found on the anterior uterine wall. The cysts were removed, and the histopathologic analysis was endometrioid cystadenomas without atypia. Cytologic analysis was negative for endometriosis or adenomyosis, as was the microbiologic culture. The patient’s symptom resolved after surgery. Uterine cysts at other locations have been reported 12; however, subserous uterine cysts occur rarely.

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