Presentation
Dyspareunia.
Patient Data
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Well-defined cystic lesion arising from the anterior vaginal wall, located above the level of the most inferior aspect of the pubic symphysis with a mass effect on the vaginal lumen which is displaced to the left. It displays a high signal on T1 and T2 (proteinaceous content) with no peripheral enhancement.
Small intramural leiomyomas (Figo 4 and 5).
Case Discussion
MRI features are most consistent with a Gartner duct cyst with no associated urinary system anomalies (both kidneys were normal on ultrasound and not shown).
Gartner duct cysts are typically located above the inferior aspect of the pubic symphysis, within the walls of the vagina. They are often noticed incidentally on ultrasound or MRI; the symptoms are usually due to the mass effect on adjacent structures.
The main differential diagnosis includes:
- Bartholin gland cyst: usually located at or below the level of the pubic symphysis
- urethral diverticulum: located around the urethra
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