A Gartner duct cyst develops from embryologic remnants of the Wolffian (mesonephric) duct.
When they are located in the lower vagina at the level of the urethra, they can cause mass effect on the urethra and give rise to urinary tract symptoms
It is located in anterolateral wall of the proximal (superior) 3rd of the vagina 2 and are typically located above the level of the inferior most aspect of the pubic symphysis.
Gartner duct cysts can also be associated with abnormalities of the metanephric urinary system 4-7
Typically lesion as a cystic lesion arising from the anterolateral aspect of the superior vagina. They are usually small < 2cm 3 although occasionally can get to a very large size - several cm's.
In rare cases with larger cysts, the presence of dyspareunia and problems in obstetric delivery are described 3
General imaging differential considerations include
- 1- Hahn WY, Israel GM, Lee VS. MRI of female urethral and periurethral disorders. AJR Am J Roentgenol. 2004;182 (3): 677-82. AJR Am J Roentgenol (full text) - Pubmed citation
- 2- Siegelman ES, Outwater EK, Banner MP et-al. High-resolution MR imaging of the vagina. Radiographics. 17 (5): 1183-203. Radiographics (abstract) - Pubmed citation
- 3- Hagspiel KD. Giant Gartner duct cyst: magnetic resonance imaging findings. Abdom Imaging. 20 (6): 566-8. - Pubmed citation
- 4- Arumugam A, Kumar G, Si L et-al. Gartner duct cyst in pregnancy presenting as a prolapsing pelvic mass. Biomed Imaging Interv J. 2007;3 (4): e46. doi:10.2349/biij.3.4.e46 - Free text at pubmed - Pubmed citation
- 5- Lee MJ, Yoder IC, Papanicolaou N et-al. Large Gartner duct cyst associated with a solitary crossed ectopic kidney: imaging features. J Comput Assist Tomogr. 15 (1): 149-51. - Pubmed citation
- 6- Li YW, Sheih CP, Chen WJ. MR imaging and sonography of Gartner's duct cyst and single ectopic ureter with ipsilateral renal dysplasia. Pediatr Radiol. 1992;22 (6): 472-3. - Pubmed citation
- 7- Dwyer PL, Rosamilia A. Congenital urogenital anomalies that are associated with the persistence of Gartner's duct: a review. Am. J. Obstet. Gynecol. 2006;195 (2): 354-9. doi:10.1016/j.ajog.2005.10.815 - Pubmed citation
Synonyms & Alternative Spellings
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|Gartner's duct cyst||✗|
|Gartner duct cysts||✗|
|Mesonephric duct cyst||✗|
|Mesonephric duct cysts||✗|
|Gartner's duct cysts||✗|
|Cysts of Gartner's duct||✗|
|Cysts of the Gartner's duct||✗|