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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.



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  		Fig. 1A. --31-year-old woman with peritoneal serous cyst of müllerian origin. IV contrast-enhanced axial CT scan shows round homogeneous fluid-density mass (arrow) deforming lower pole of right kidney.

 


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  		Fig. 1B. --31-year-old woman with peritoneal serous cyst of müllerian origin. Reformatted sagittal CT scan shows cyst (arrow) with flattening of adjacent right renal contour.

 


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  		Fig. 2A. --41-year-old woman with peritoneal serous cyst of müllerian origin. IV contrast-enhanced CT scan shows fluid-density structure (arrow) adjacent to lower pole of right kidney.

 


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  		Fig. 2B. --41-year-old woman with peritoneal serous cyst of müllerian origin. Reformatted sagittal CT scan of cyst (arrow) shows normal convex contour of lower pole of adjacent right kidney.

 


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  		Fig. 3A. --46-year-old woman with peritoneal serous cyst of müllerian origin. IV contrast-enhanced CT scan shows homogeneous fluid-density mass (arrow) inferior to right kidney (not shown).

 


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  		Fig. 3B. --46-year-old woman with peritoneal serous cyst of müllerian origin. Reformatted sagittal CT scan shows round homogeneous fluid-density mass (arrow) displacing right kidney.

 


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  		Fig. 3C. --46-year-old woman with peritoneal serous cyst of müllerian origin. Photomicrograph of histopathologic specimen shows columnar epithelium lining cyst cavity. (H and E, x200)

 


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  		Fig. 3D. --46-year-old woman with peritoneal serous cyst of müllerian origin. Photomicrograph of histopathologic specimen shows intense staining of epithelium, which did not show staining with calretinin or carcinoembryonic antigen-m (not shown). (antikeratin immunoperoxidase, x400)

 

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