Retroperitoneal duplication cyst with a fistulous tract to the vagina: a case report

Abstract

Objectives: To describe a rare case of a retroperitoneal duplication cyst that fistulized to the vagina.

Methods: Case description and discussion of a patient found to have an intestinal duplication cyst.

Results: A patient presented for a laparoscopic hysterectomy because of menorrhagia and a fibroid uterus. She also complained of recurrent urinary tract infections (UTIs) and a vaginal discharge. A retroperitoneal intestinal duplication cyst that fistulized to the vagina and caused her recurrent UTIs was identified. Surgical resection of the cyst resolved her complaint of recurrent UTIs.

Conclusions: Retroperitoneal intestinal duplication cysts are rare congenital anomalies with vague clinical manifestations. The finding of a fistulous communication to the vagina originating from such a structure can be associated with recurrent UTIs.