Abstract
The authors report a rare case of a large nabothian cyst with chronic pelvic pain in 48-year-old woman. The patient suffered from chronic pelvic pain radiating to the right leg, especially during ambulation. The large cystic mass was found in the cervix. A cystectomy was performed through the vagina. Nabothian cyst was pathologically confirmed and the patient’s pelvic pain improved postoperatively.
Highlights
Nabothian cysts are common benign findings of uterine cervix without clinical significance
The cervix is composed of columnar epithelium, which lines the endocervical canal, and squamous epithelium, which covers the exocervix
The glandular epithelium consists of numerous ridges and clefts when covered by squamous metaplasia, leads to the appearance of gland openings
Summary
Nabothian cysts are common benign findings of uterine cervix without clinical significance. Most of nabothian cysts do not require any treatment since they are asymptomatic and founded incidentally by gynecologic examination. A nabothian cyst is small-sized and multiple common lesion in reproductiveage women. It is difficult to distinguish them from cervical adenoma malignum (AM) since they advance to large sized and deeply penetrate the cervical stroma [2]. Chronic pelvic pain can be a significant challenge to both the patient and physician. There are many causes of chronic pelvic pain. It is important to evaluate the patient with chronic pelvic pain through a careful history taking and physical examination, gynecological and nongynecological [8]. The authors report a rare case of large nabothian cyst with chronic pelvic pain and review the literature
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