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Gartner duct cyst

Gartner duct cysts develop from embryologic remnants of the Wolffian (mesonephric) duct. They are often noticed incidentally on ultrasound or MRI.

Clinical presentation

They may cause mass effect on adjacent structures.



Gartner duct cysts are located in the anterolateral wall of the proximal (superior) portion of the vagina 2 and are typically located above the level of the inferior most aspect of the pubic symphysis.


Gartner duct cysts most often are isolated findings, but can also be associated with abnormalities of the metanephric urinary system 4-7

Radiographic features

Typically, they are simple cystic lesions arising from the anterolateral aspect of the superior vagina. They are usually small (<2) cm although occasionally they can become very large (up to several cm) 3.


In rare cases with larger cysts, dyspareunia and problems in obstetric delivery have been described 3.

Differential diagnosis 

General imaging differential considerations include:

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