Presentation
Recent pelvic pain.
Patient Data
There are some cysts, above the pubic symphysis, on the left anterolateral wall of the vagina, with a high signal on T2-weighted images and an intermediate/high signal on T1-weighted images.
Two cysts are seen below the pubic symphysis, in the postero-lateral inferior third of the vagina, with a high signal on T2-weighted images and a low signal on T1-weighted images.
Case Discussion
This case shows important differential diagnoses between cystic lesions around the vagina. The cysts above the pubic symphysis are compatible with Gartner duct cysts with proteinaceous content, even more with the clinical information of ipsilateral renal agenesis. The cysts located below the pubic symphysis are consistent with Bartholin gland cysts.
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