{
    "abstract": "Endometriosis originating in mesonephric cyst is unusual and with unknown prevalence. Endometriotic lesion in vestigial remnant of wolffian duct (mesonephric cyst) is exceptional. In the extended literature review only three cases have been reported in animal studies, and our case reported here is the first in human beings. We present a case of mesonephric cyst endometrioma in a 37-year-old patient who was referred for severe dysmenorrhea, long duration pelvic and back pain, subfertility, severe dyspareunia, and groin discomfort. The patient underwent laparoscopic removal and we performed a literature review to gain insight about the origin and surgical management of an atypical site endometriosis.\nCase report presentation rests on information obtained from the patient database. We performed the literature review using a Medline search with the keywords: mesonephric cyst endometriosis, atypical location of endometriosis in vestigial remnant in wolffian duct, and Gartner duct cyst endometrioma.\nOn physical examination, fullness and tenderness in left adnexa and lateral vaginal wall fullness on left side with restricted mobility of uterus was noted. Based on the examination and imaging the left ovarian cyst and mesonephric cyst were suspected. Surgical exploration revealed the left hemorrhagic cyst with deep infiltrating endometriosis involving left ureter and left uterosacral ligament with mesonephric cyst endometriosis. The review of literature revealed three cases where ectopic endometrial tissue in mesonephric cyst remnant was found in female dogs.\nMesonephric cyst endometrioma, although rare, can be a representative of extensive endometriosis. This case highlights an importance of careful clinical examination, correlation of patient symptoms with examination and imaging, and successful laparoscopic management of an atypical location endometriotic lesions. We completed the literature review on successful surgical management of such cases.",
    "authors": [
        {
            "affiliation": "Department of Reproductive Medicine and Infertility, First IVF Clinic, Dubai Healthcare City, Dubai, UAE. (Dr. Madnani).",
            "firstname": "Ripal",
            "initials": "R",
            "lastname": "Madnani"
        },
        {
            "affiliation": "Department of Minimal Invasive Gynecological Surgery, Parikh Super Specialty Hospital, Ahmedabad, Gujarat, India. (Dr. Sonara).",
            "firstname": "Sandip",
            "initials": "S",
            "lastname": "Sonara"
        }
    ],
    "conclusions": "Mesonephric cyst endometrioma, although rare, can be a representative of extensive endometriosis. This case highlights an importance of careful clinical examination, correlation of patient symptoms with examination and imaging, and successful laparoscopic management of an atypical location endometriotic lesions. We completed the literature review on successful surgical management of such cases.",
    "copyrights": "\u00a9 2023 by SLS, Society of Laparoscopic & Robotic Surgeons.",
    "doi": "10.4293/CRSLS.2023.00029\n10.53347/rID-12523",
    "journal": "CRSLS : MIS case reports from SLS",
    "keywords": [
        "Atypical site endometriosis",
        "Deep infiltrating endometriosis",
        "Endometrioma (chocolate cyst)",
        "Endometriosis",
        "Gartner\u2019s duct cyst",
        "Mesonephric cyst",
        "Operative laparoscopic surgery"
    ],
    "methods": null,
    "publication_date": "2023-10-09",
    "pubmed_id": "37808583\n24435778\n31618674\n29320327\n36016813\n1660434\n27747115\n21366719",
    "results": "On physical examination, fullness and tenderness in left adnexa and lateral vaginal wall fullness on left side with restricted mobility of uterus was noted. Based on the examination and imaging the left ovarian cyst and mesonephric cyst were suspected. Surgical exploration revealed the left hemorrhagic cyst with deep infiltrating endometriosis involving left ureter and left uterosacral ligament with mesonephric cyst endometriosis. The review of literature revealed three cases where ectopic endometrial tissue in mesonephric cyst remnant was found in female dogs.",
    "title": "Mesonephric Cyst Endometrioma: Surgical Management of an Atypical Site Endometriosis.",
    "xml": "<Element 'PubmedArticle' at 0x788503ac4360>"
}