Huge fimbrial cyst causing bilateral hydroureteronephrosis - a rare case report

Abstract

Small fimbrial cysts are most commonly seen, sometimes become larger and presents with symptoms. Here we presents a case of huge fimbrial cyst detected incidentally in a 20 year nulligravida came to out patient department with abdominal distention. Examination and imaging revealed large abdominopelvic cystic mass with no solid areas or septations. Minilaparotomy done, right fimbrial cyst was evident, cyst wall removed intoto. Histopathology confirmed fimbrial origin. Paraovarian cyst should be included in the differential diagnosis of a cystic mass visualized on ultrasound.

A Cystic Surprise: Unearthing Fimbrial Cysts as an Uncommon Source of Abdominal Pain

“…The majority of patients report no symptoms but the most common symptoms include lower abdominal pain and discomfort, menstrual irregularities, abdominal distension, and the pressure effects of a large cyst, torsion, or rupture [ 6 ]. Previously reported studies demonstrated that postmenopausal bleeding, dysmenorrhea or irregular menstruation, and intermittent lower abdominal pain have all been linked to fallopian tube teratomas [ 7 ].…”