J Korean Soc Radiol.  2011 Mar;64(3):285-288. 10.3348/jksr.2011.64.3.285.

A Child Case of a Bilateral Hydatid of Morgagni with Unilateral Torsion Occurred

• Lee KY
• Yi BH
• Park SJ
• Lee HK
• Hong HS
• Lee EH
• Kwak JJ

• KMID: 2097952
• DOI: http://doi.org/10.3348/jksr.2011.64.3.285

Abstract

Hydatids of Morgagni are benign, pedunculated cystic structures which originate from mullerian vestiges in the inferior aspect of the fallopian tube. They are usually asymptomatic unless torsion or ischemia occurs, which is rare. We report on a child case of a bilateral Hydatid of Morgagni with torsion.

MeSH Terms

Child
Fallopian Tubes
Female
Humans
Ischemia
Parovarian Cyst
Torsion Abnormality

Figure

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  Fig. 1 Coronal (A) and axial (B, C) contrast enhanced CT scan shows two large cystic masses in patient's abdomen. A. On the left side of mid abdomen, 13×9×11 cm sized cyst is seen abutting 5.5 cm sized oval low density solid mass (arrow) near the right fallopian tube. And this soid mass is thought to be right ovary. B. The distal portion of the right tube showed knot like lesion (arrow). C. Another cystic mass abutting the left fallopian tube is located in pelvic cavity. And the left ovary (arrow) is showed normal feature. D. Ultrasonography exam show two large well defined anechoic cysts without any septation nor solid portion in left upper quadrant and pelvic cavity, respectively. E. Intraoperative pictures shows right paratubal cyst (white arrow) and torsed right fallopian tube (black arrow). Edematous enlarged and black colored right ovary is noted (arrowhead). F. Pathologic specimen showed a cyst lined by single cuboidal tubal epithelium (black arrow), stromal fibrous tissue (white arrow) and smooth muscle (arrowhead) (H & E stain, ×20).

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