In the news

An interesting case of a young man who presented with abdominal pain associated with urinary urgency. An ultrasound suggested a cystic mass in the pelvis posterior to the bladder. When I examined the patient, I could feel a mass but not the prostate. MRI scan confirmed a midline 8cm cystic mass posterior to the bladder. We suspected Mullerian duct cyst which is often associated with renal genesis. So a CT scan was done and indeed this showed absent left kidney! Mullerian Duct Cyst is rare with prevalence rate of 1-5%. A high index of suspicion is required to make the diagnosis as in this case. When symptomatic, it is usually nonspecific. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5821299/