Retroperitoneal cysts are uncommon, with an estimated incidence of 1/5750 to 1/250,000. As the retroperitoneum is a large potential space, these cysts can grow to considerable size before becoming symptomatic. This case report reviews the presentation and management of an upper abdominal retroperitoneal cyst of Müllerian origin. To our knowledge, it is only the 7th such case found in the literature.
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