title: Retroperitoneal duplication cyst with a fistulous tract to the vagina:  a case report.
abstract: OBJECTIVE
  To describe a rare case of a retroperitoneal duplication cyst that fistulized to the vagina.
  
  
  METHODS
  Case description and discussion of a patient found to have an intestinal duplication cyst.
  
  
  RESULTS
  A patient presented for a laparoscopic hysterectomy because of menorrhagia and a fibroid uterus. She also complained of recurrent urinary tract infections (UTIs) and a vaginal discharge. A retroperitoneal intestinal duplication cyst that fistulized to the vagina and caused her recurrent UTIs was identified. Surgical resection of the cyst resolved her complaint of recurrent UTIs.
  
  
  CONCLUSIONS
  Retroperitoneal intestinal duplication cysts are rare congenital anomalies with vague clinical manifestations. The finding of a fistulous communication to the vagina originating from such a structure can be associated with recurrent UTIs.
authors.affiliation: Women's Pelvic Health & Continence Center, Houston, TX, USA. gfilmar@gmail.com
authors.forename: Gilad A
authors.initials: GA
authors.lastname: Filmar
authors.forename: Peter M
authors.initials: PM
authors.lastname: Lotze
authors.forename: Hilaire W
authors.initials: HW
authors.lastname: Fisher
mesh_terms: D003560:Cysts / Q000150:complications* / Q000151:congenital / Q000601:surgery; D005260:Female; D006801:Humans; D007422:Intestines / Q000002:abnormalities* / Q000601:surgery; D008875:Middle Aged; D012008:Recurrence; D012187:Retroperitoneal Space; D014552:Urinary Tract Infections / Q000209:etiology*; D014624:Vaginal Fistula / Q000150:complications* / Q000601:surgery