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Gas-filled parasymphyseal pubic cyst associated with degenerative joint disease

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Abstract

Parasymphyseal cysts are a rare and poorly understood entity. This case report describes a gas-containing parasymphyseal cystic lesion associated with degenerative change and vacuum phenomenon in the pubic symphysis. The mass was discovered incidentally in a 72-year-old asymptomatic male who underwent a transrectal ultrasound-guided biopsy of the prostate and the nature of the lesion was confirmed on magnetic resonance imaging (MRI) and computed tomography (CT). We hypothesize that the gas within the parasymphyseal cystic mass arose from a vacuum phenomenon in the pubic symphysis, with subsequent extrusion of gas from the joint into the cyst itself. It is important for radiologists to be aware of the existence of this entity to avoid unnecessary surgery for patients.

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References

  1. Alguacil-Garcia A, Littman CD. Subpubic cartilaginous cyst: report of two cases. Am J Surg Pathol 1996;20:975–979

    Article  CAS  Google Scholar 

  2. Kim CE, Beasley HS. MRI Diagnois of Subpubic Cartilaginous Cyst. AJR Am J Roentgenol 2004;182:144–146

    Article  Google Scholar 

  3. Gamble JG, Sheldon CS, Freedman M. The symphysis pubis: anatomic and pathologic considerations. Clin Orthop 1986;203:261–272

    Google Scholar 

  4. Morita M, Yamada H, Terahata S, Tamai S, Shinmei M. Pseudo-synovial cyst arising at the pubic bone region and forming a large femoral-inguinal mass. J Rheumatol 1997;24:396–399

    CAS  PubMed  Google Scholar 

  5. Verrall GM, Slavotinek JP, Fon GT. Incidence of pubic bone marrow oedema in Australian rules football players: relations to groin pain. Br J Sports Med 2001;35:28–33

    Article  CAS  Google Scholar 

  6. Lin RM, Wey KL, Tzeng CC. Gas-containing “ganglion” cyst of lumbar posterior longitudinal ligament at L3. Spine 1993;18(16):2528–2532

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Diagnostic Imaging University Hospital, London Health Science Centre, 339 Windermere Road, London, ON, N6A 5A5, Canada

    J.-P. Martel & A. R. Spouge

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  1. J.-P. Martel
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  2. A. R. Spouge
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Correspondence to A. R. Spouge.

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Martel, JP., Spouge, A.R. Gas-filled parasymphyseal pubic cyst associated with degenerative joint disease. Skeletal Radiol 36 (Suppl 1), 112–115 (2007). https://doi.org/10.1007/s00256-006-0156-7

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  • DOI: https://doi.org/10.1007/s00256-006-0156-7

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