# A Rare Case of a Complex Nabothian Cyst in the Cervix: A Diagnostic Conundrum

## TL;DR

This paper reports a rare case of a large, complex Nabothian cyst in a 46-year-old woman, highlighting the importance of MRI in diagnosing such asymptomatic cervical masses.

## Contribution

The novelty lies in presenting a rare, complex Nabothian cyst case and emphasizing MRI's role in its diagnosis.

## Key findings

- A large, multiloculated, and septated Nabothian cyst was identified in an asymptomatic patient.
- MRI was effective in diagnosing the complex cyst and differentiating it from other pelvic lesions.

## Abstract

Nabothian cysts are benign cervical cysts commonly found in women of reproductive age. Typically small in size, they often do not exhibit clinical symptoms. These cysts usually resolve spontaneously without the need for medical intervention. In rare cases, however, they can enlarge significantly, potentially compressing surrounding organs and leading to symptoms associated with the mass effect.

A 46-year-old female patient presented to our hospital for a routine health checkup. During the examination, an incidental finding of a cervical mass was detected on a pelvic ultrasound. Further imaging of the cervical mass was performed using magnetic resonance imaging (MRI), which confirmed the presence of a large, multiloculated, and septated complex Nabothian cyst. This case report illustrates the asymptomatic nature of complex Nabothian cysts and emphasizes the efficacy of MRI as a crucial diagnostic tool for identifying pelvic lesions.