Balasubramaniam Devi, Ravi Saranya, Yogini Kavitha
Department of Endogynaecology, GEM Hospital and Research Center, Coimbatore, Tamil Nadu, India.
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):64-66. doi: 10.4103/GMIT.GMIT_47_20. eCollection 2022 Jan-Mar.
Nabothian cysts (NCs) are benign cervical mucous retention cysts, which are usually considered insignificant. A 45 years para 2, presented with lower abdominal heaviness, abnormal uterine bleeding and severe dysmenorrhea for 1 year. On examination, only a part of the anterior cervical lip was visible, and a tense bulging cyst was replacing the posterior lip. The cyst extended supravaginally and filled the posterior fornix. Magnetic resonance imaging suggested a 15 cm × 10 cm huge NC. Laparoscopic hysterectomy was done. There were difficulties in bladder dissection, ureteric identification, and vault delineation. The cyst contained 800 ml of clear fluid with a few milliliters of yellowish mucinous fluid. To our knowledge, NC of this size has not been reported in the literature. NCs are benign lesions, but they have to be differentiated from other cervical cysts - particularly malignant or premalignant lesions. NC can very well be managed laparoscopically, provided the skills of precise dissection are possessed by the surgeon.
纳博特囊肿（NCs）是良性宫颈黏液潴留囊肿，通常被认为无足轻重。一名45岁经产2次的女性，出现下腹部坠胀、异常子宫出血和严重痛经1年。检查时，仅可见宫颈前唇的一部分，一个张力性膨出的囊肿取代了后唇。囊肿向上延伸至阴道上方并充满后穹窿。磁共振成像显示一个15厘米×10厘米的巨大纳博特囊肿。遂行腹腔镜子宫切除术。术中在膀胱分离、输尿管识别和阴道穹窿界定方面存在困难。囊肿内含有800毫升清亮液体及几毫升淡黄色黏液性液体。据我们所知，文献中尚未报道过如此大小的纳博特囊肿。纳博特囊肿是良性病变，但必须与其他宫颈囊肿相鉴别——尤其是恶性或癌前病变。只要外科医生具备精确解剖的技能，纳博特囊肿完全可以通过腹腔镜进行处理。
