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AJR 2004; 183:1393-1396
© American Roentgen Ray Society

Original Report

Symptomatic Perirenal Serous Cysts of Müllerian Origin Mimicking Renal Cysts on CT

Thomas X. Minor1, Benjamin M. Yeh2, Andrew E. Horvai3, Harrison M. Abrahams1, Maxwell V. Meng1 and Marshall L. Stoller1

1 Department of Urology, University of California, San Francisco, San Francisco, CA 94143-0738.
2 Department of Radiology, University of California, San Francisco, 505 Parnassus Ave., Box 0628, M-372, San Francisco, CA 94143-0628.
3 Department of Pathology, University of California, San Francisco, San Francisco, CA 94143-0738.

OBJECTIVE. Our aim was to describe the clinical presentation, CT appearance, and management of a series of symptomatic perirenal serous cysts of müllerian origin, confirmed by laparoscopic resection.

CONCLUSION. Perirenal serous cysts of müllerian origin are uncommon lesions that may present as large symptomatic perirenal cystic masses mimicking exophytic renal cysts on CT. Serous cyst of müllerian origin should be considered in the differential diagnosis when CT reveals a large solitary perirenal cyst in a woman with flank or abdominal pain or both. Laparoscopic resection may be an effective treatment of such cysts.


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